Application – Little Stars Pre-Primary

Admission Form

Please provide Primary Contact Information

First Name

Last Name

Phone Number

Please complete all details

Child's Name and Surname

Child’s Date of birth

Home language

Will your child be going to an English or Afrikaans Grade 1 class?

English

Afrikaans

Religious Denomination (Church)

Please complete all details

Doctor’s name

Doctor's Phone no.

Child's Blood Group

Known allergies (State N/A if none)

Other medical problems (State N/A if none)

Anything else I should know (State N/A if none)

How did you hear about our school?

Please provide all field information

Father's Name and Surname

Occupation

Employer

Marital status

Physical address

Home phone no.

Work phone no.

Cell phone no.

Email address