ONLINE APPLICATION FORM - Amazing Kids Primary School

Application Form

Amazing Kids Private School Windhoek

Learner's Information

Last Name *

Middle Name(s) *

First Name *

Preferred Name *

Date of Birth *

Age *

Enrolling for *

Year *

Citizenship *

Learner's Cell no.

Learner's Email Address

Doctor's Name *

Telephone

PLEASE ONLY TICK WHERE APPLICABLE

Physical Disability *YesNo

Occupational Therapy *YesNo

Allergies *YesNo

Remedial Therapy *YesNo

Chronic Disease *YesNo

Any defined syndrome, e.g Dyslexia etc : *YesNo

Speech Therapy *YesNo

Has your child ever repeated a grade? *YesNo

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If YES to any of the above, kindly give full details: (Attach relevant reports)

Is there any other information about your child that the school/staff should be aware of?

NB: Non-Namibians to apply for study permit with the Ministry of Home Affairs

FATHER/GUARDIAN INFORMATION

Last Name *

First Name *

Title

ID/Passport number *

Residential Address

Postal Address

Telephone (Home)

(Work)

(Cell)

Email Address

Marital Status

Employer *

Designation

Religion

Denomination

MOTHER/GUARDIAN INFORMATION

Last Name *

First Name *

Title

ID/Passport number *

Residential Address

Postal Address

(Home) *

Telephone (Work)

(Cell) *

Email Address

Marital Status

Employer

Designation

Religion

Denomination

DETAILS OF PERSON RESPONSIBLE FOR FEES

Account Holder's Name *

ID/ Passport Number *

Telephone (Work)

(Home)

(Cell) *

Residential Address

Please Provide Us With 2 Credit/Account References.

Company *Name of the Bank

Account Number *Bank Account Number

Company Contact No. *The bank's contact details

Company *Name of the bank

Account Number *Bank account number

Company Contact No. *The bank's contact details

I (The parent/guardian) accept the responsibility for all the financial obligations and understand that failure to pay by the end of every month will automatically result in being handed over to debt collectors/lawyers and I also accept that no refunds will be given to me on school fees paid upfront if I fail to give one month’s notice should I decide to take my child to another school. I will be liable for all legal costs.

IN CASE OF EMERGENCY

Name and contact number of a family/friend to be contacted in emergencies when parents are not available:

Name *

Relationship *

Telephone (Work) *

(Home)

(Cell) *

PLEASE TAKE NOTE OF THE FOLLOWING

1. Our school uniform can be purchased at Boundary Wholesalers, 6 Planck street : 061-220342). Detailed information can be obtained from the School Code of Conduct.

2. Should I/We intend to withdraw my/our child (ren) from the school, I/we need to give at least 1 month’s written notice to the school. If I/we do not comply with this agreement, I /we will be kept liable for additional charges for the final month.

3. NO REFUNDS ON REGISTRATION AND TUITION FEES.

4. I/we will be obliged to sign the school oath as well as an annual indemnity form to allow my/our child/ren to go on school outings.

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GET IN TOUCH

6 Teinert St, Windhoek West, Namibia

Mobile: (+264) 81 679 7048 or

(+264) 81 679 7049

Email: info@amazingkids.edu.na