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Wishing wells nursery school

WISHING WELLS BABY CARE
271 BEYERS NAUDE DRIVE
P O BOX 48478
BLACKHEATH
ROOSEVELT PARK
TEL: (011) 476-8363 FAX: (011) 476-3648
wishingwell@mweb.co.za
ENROLMENT FORM - 2014

REGISTRATION FEE:- R 250-00 (non refundable)
Fees are strictly payable over 11 months.

Fees are non-refundable
FEES:-
Half Day:- 7h.00- 13h30 (Incl. Lunch)
Full Day:- 7h00 – 17h30 (Incl. Lunch)
Fees are subject to a 10% increase in January.

DATE OF APPLICATION:………………… DATE OF COMMENCEMENT:……………………………
FULL NAME AND SURNAME OF CHILD: ………………………………………………. ( M / F )
DATE OF BIRTH: ……………………PREVIOUS BABY CARE ATTENDED: …………….
RESIDENTIAL ADDRESS: …………………………………………………………………………………
POSTAL ADDRESS: ……………………………………………………………………………………….
HOME TEL. NO: ……………… FAX NO: .…………….E-MAIL : …….……. HOME LANG: ….
FULL NAME OF MOTHER: ………….………………………………………………………………….
I.D. NUMBER: ………………………………………………… CELL NO: ………………………………
WORK ADDRESS:………………………………………… TEL. NO……:……………FAX: ……………
OCCUPATION: …………………………………………… COMPANY NAME.…………………………
MOTHER’S WORKING HOURS:……………………………………………………………………………
FULL NAME OF FATHER/ GUARDIAN: ……………………………………………………………….
I.D. NUMBER: ………………………………………… CELL NO.: ……………………….…………….
WORK ADDRESS:…………………………………………… COMPANY NAME :……………………
OCCUPATION:……………………………………TEL. NO:…………………FAX NO: .……………….
NAME OF PERSON TO BE CONTACTED IN AN EMERGENCY (OTHER THAN PARENTS):
…………………………………………………. TEL. NO:…………………………………………….
NUMBER OF OTHER CHILDREN IN THE FAMILY:…………. AGES:…………………………….
WHO WILL COLLECT HIM/HER FROM WISHING WELLS?……………………………………….
(PRIOR NOTICE IS REQUIRED SHOULD ANY OTHER PERSON COLLECT)
WHERE DID YOU HEAR ABOUT US ?……………………………………………………………….
WILL YOUR CHILD ATTEND FULL DAY / HALF DAY ? …………………………………………….
FOR OFFICE USE: ACC NO. …… REG. FEE ….REC. NO ……. MONTHS FEE: …….REC ……

INDEMNITY

1)
AS PARENT/GUARDIAN OF SAID APPLICANT, I DO HEREBY GRANT PERMISSION FOR MY BABY / TODDLER TO PARTICIPATE IN ALL SCHOOL ACTIVITIES, WHICH FORM PART OF THE DAILY ROUTINE AND THAT ARE AGE APPROPIATE THE SCHOOL RESERVES THE RIGHT TO SEEK MEDICAL ASSISTANCE FOR A SICK OR INJURED BABY / TODDLER, ALTHOUGH EVERY EFFORT WILL BE MADE TO CONTACT THE PARENT IN THIS EVENT. THE PARENT OR LEGAL GUARDIAN WILL BE LIABLE FOR ANY COSTS RESULTING FROM MEDICAL ASSISTANCE SOUGHT BY WISHING WELLS BABY CARE FOR YOUR CHILD. I, THEREFORE UNDERTAKE ON BEHALF OF MYSELF, SPOUSE, EXECUTORS AND APPLICANT TO INDEMIFY AND ABSOLVE WISHING WELLS NURSERY SCHOOL AND ITS STAFF MEMBERS AGAINST AND FROM ANY AND ALL CLAIMS WHATSOEVER THAT MAY ARISE IN CONNECTION WITH ANY LOSS AND / OR DAMAGE TO THE PROPERTY OR INJURY TO MY CHILD, OR FOR ANY OTHER UNFORTUNATE EVENT THAT MAY OCCUR WHILST IN THE CARE OF, OR ON THE PROPERTY WHERE WISHING WELLS BABY CARE/NURSERY SCHOOL OPERATES. I CEDE MY POWERS AS PARENTS/GUARDIAN TO THE PRICIPAL OR HER RESPRESENTATIVES SHOULD ANY MEDICAL TREATMENT/SURGERY BE DEEMED NECESSARY FOR MY CHILD IF NEITHER PARENT / GUARDIAN CAN BE CONTACTED IN TIME. I ACCEPT THAT THIS GENERAL INDEMINITY SHALL REMAIN IN FORCE FOR THE FULL DURATION OF MY CHILD’S REGISTRATION AT WISHING WELLS BABY CARE. I FURTHER UNDERTAKE TO FURNISH THE SCHOOL WITH ANY ALTERATIONS TO THE REQUIRED INFORMATION. I AGREE TO ABIDE BY THE RULES OF THE SCHOOL. SIGNATURE OF PARENT:………………………………………………….DATE: ……………………… I.D NUMBER : ……………………………………………… ___________________________________________________________________
CONDITIONS OF ENROLMENT
THE REGISTRATION FEE, AND ONE MONTH’S FEE, ARE PAYABLE IN ADVANCE. THESE AMOUNTS ARE NOT REFUNDABLE. SCHOOL FEES ARE PAYABLE IN ADVANCE BEFORE THE 5TH DAY OF EACH TERM. THERE ARE 4 TERMS A YEAR. WE INVOICE PER MONTH. SCHOOL FEES ARE PAYABLE MONTHLY OVER A PERIOD OF 11 MONTHS. HOWEVER, ALL FEES ARE TO BE FULLY PAID UP BY THE MIDDLE OF NOVEMBER. PLEASE NOTE THAT NO REDUCTION IN FEES WILL BE GIVEN DURING A CHILD’S ABSENCE DUE TO ILLNESS OR ABSENT FOR ANY PERIOD OF TIME. THE BABY CARE WILL OPERATE ACCORDING TO THE GOVERNMENT SCHOOL TERMS AND WILL REMAIN OPEN DURING THE SCHOOL HOLIDAYS, EXCEPT DURING OUR DECEMBER BREAK WHEN THE SCHOOL WILL BE CLOSED COMPLETELY. PLEASE TRY TO ENSURE THAT THE EXACT AMOUNT IS PROVIDED WHEN PAYING CASH. THE PAYMENT MUST BE PLACED IN AN ENVELOPE THAT IS CLEARLY MARKED WITH THE CHILD’S NAME. A RECEIPT MUST BE OBTAINED UPON ALL PAYMENTS.
WISHING WELLS WILL NOT BE HELD RESPONSIBLE FOR MISLAID FEES IF PROOF OF
PAYMENT CANNOT BE FURNISHED.
UNPAID SCHOOL FEES MAY RESULT IN YOUR ACCOUNT BEEN HANDED OVER AND
YOUR CHILD MAY BE ASKED TO BE WITHDRAWN FROM WISHING WELLS
. . IF THE
ACCOUNT IS HANDED OVER FOR COLLECTION , A 30% COLLECTION FEE WILL BE
ADDED ONTO THE AMOUNT OUTSTANDING
. ANY COSTS ARISING FROM THE
COLLECTION OF OUTSTANDING FEES ARE PAYABLE BY THE PARENT OR LEGAL
GUARDIAN OF THE CHILD
ARRIVAL AND DEPARTURE TIMES
SCHOOL OPENS AT 7.00AM AND CLOSES AT 5.30PM
CHILDREN MUST PLEASE BE DROPPED AT SCHOOL BY 8.15 AM AND COLLECTED ON TIME.
LATE COLLECTIONS WILL BE CHARGED FOR. UNDER NO CIRCUMSTANCE MAY CHILDREN
BE DROPPED AT THE GATE. THEY MUST BE TAKEN TO THE NURSERY AND HANDED OVER
TO THE TEACHER.
CHILDREN MAY ONLY BE FETCHED BY THEIR PARENTS, LEGAL GUARDIAN OR NOMINEE
AS SPECIFIED ON THE ENROLMENT FORM. NO CHILD WILL BE ALLOWED TO LEAVE THE
PREMISES WITH PERSONS UNKNOWN UNLESS THE PARENT OR LEGAL GUARDIAN HAS
MADE PRIOR ARRANGEMENTS.
SECURITY
WISHING WELLS IS PROTECTED BY ADT SECURITY WHO WILL RESPOND WITHIN MINUTES
IN THE EVENT OF AN ACCIDENT OR OTHER CIVIL MATTER. A FULL TIME CAR GUARD IS
EMPLOYED
IILNESS
CHILDREN SUFFERING FROM COUGHS, COLDS OR ANY OTHER INFECTIOUS DISEASES
MUST BE KEPT AT HOME UNTIL THEY HAVE FULLY RECOVERED. PLEASE INFORM THE
NURSERY IF A CHILD IS TO BE ABSENT.
MEDICINE
MEDICINE PRESCRIBED BY A DOCTOR MUST BE HANDED TO THE CLASS TEACHER SO
THAT IT CAN BE ENTERED INTO THE MEDICINE REGISTER. THE SCHOOL DOES NOT
ACCEPT MEDICINE OR INSTRUCTIONS FROM A CHILD UNDER ANY CIRCUMSTANCES.
PLEASE MENTION ANY SPECIAL PROBLEMS, IF ANY, I.E. ALLERGIES, (E.G. PENICILLIN, BEE
STINGS, ETC), SPEECH DEFECTS, LEARNING PROBLEMS AND THE TREATMENT REQUIRED:
…………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………


MEDICAL ASSISTANCE
THE SCHOOL RESERVES THE RIGHT TO SEEK MEDICAL ASSISTANCE FOR A SICK OR
INJURED CHILD ALTHOUGH EVERY EFFORT WILL BE MADE TO CONTACT THE PARENT IN
THIS EVENT. THE PARENT OR LEGAL GUARDIAN WILL BE LIABLE FOR ANY COSTS
RESULTING FROM MEDICAL ASSISTANCE SOUGHT BY WISHING WELLS FOR YOUR CHILD.
NAME OF MEDICAL AID: ………………………….

NAME OF MAIN MEMBER: ………………………………………………
IMMUNISATIONS
CITY HEALTH REGULATIONS REQUIRE THAT THE RECORDS OF IMMUNISATIONS ARE
KEPT IN OUR FILES. KINDLY SUPPLY US WITH A PHOTOSTAT COPY OF YOUR CHILD’S
IMMUNISATION CERTIFICATE UPON ENROLMENT.
CLOTHING
PLEASE ENSURE THAT YOUR CHILD HAS A SPARE SET OF CLOTHING. A JERSEY MUST
ALSO BE SENT EVERY DAY. ALL CLOTHING IS TO BE CLEARY MARKED WITH YOUR
CHILDS NAME.
BLANKET, SHEET AND SMALL PILLOW FOR REST TIME
PLEASE PROVIDE YOUR CHILD WITH A SMALL BLANKET, A SHEET MADE INTO A PILLOW
CASE SIZE 1.100M X .600M AND A PILLOW. PLEASE BE AS QUIET AS POSSIBLE WHEN
FETCHING CHILDREN DURING REST TIME.
TOYS AND SWEETS
PLEASE DO NOT ALLOW YOUR CHILD TO BRING TOYS AND SWEETS TO SCHOOL.
BIRTHDAYS
A BIRTHDAY IS A GREAT EVENT IN EVERY CHILD’S LIFE. YOUR CHILD’S TEACHER WILL
ARRANGE FOR A BIRTHDAY RING. MANY PARENTS LIKE TO SEND CAKES AND SWEETS
TO SCHOOL. PLEASE REFRAIN FROM SENDING SUCKERS ON STICKS, THEY CAN BE
DANGEROUS.
INTERVIEWS
PARENTS ARE ALWAYS WELCOME TO DISCUSS PROBLEMS WITH THE TEACHER. PLEASE
MAKE AN APPOINTMENT IN ADVANCE IN ORDER TO ALLOW AN UNDISTURBED
DISCUSSION TO TAKE PLACE.

** IMPORTANT NOTICE ! **

TO TERMINATE ENROLMENT AT WISHING WELLS, ONE FULL TERMS WRITTEN
NOTIFICATION IS REQUIRED
, FAILING WHICH, A FULL TERMS FEE WILL BE CHARGED.
PAYMENT IN LIEU OF NOTICE WILL BE ACCEPTED. WISHING WELLS DOES NOT ASSUME
THAT A CHILD HAS LEFT IF HE OR SHE IS ABSENT FOR A PROLONGED PERIOD.
ANY CHANGE IN YOUR CHILD’S SCHEDULE, I.E. FULL DAY TO HALF DAY, REQUIRES ONE
TERMS WRITTEN NOTIFICATION.


I,………………………………………………(I.D NO ………………………………) BEING THE
LEGAL GUARDIAN/PARENT OF…………………………………………………ACCEPT THE
CONDITIONS OF ENROLMENT OF WISHING WELLS BABY CARE AS LAID OUT IN PAGES 2
TO 5 OF THIS DOCUMENT.
SIGNED……………………………………. WITNESS……………………………………………….
DATE……………………………………….
____________________________________________________________________________________
OUR BANKING DETAILS ARE AS FOLLOWS:
FIRST NATIONAL BANK
I, THE RESPONSIBLE PARTY FOR THE ACCOUNT OF THE ABOVE MENTIONED CHILD, HEREBY CONFIRM THAT I HAVBE READ PAGES 1 - 6 AND HAVE UNDERSTOOD THE CONDITIONS OF ENROLMENT FOR MY CHILD AT WISHING WELLS BABY CARE CONTAINED HEREIN AND AGREE TO PAY THE AMOUNT OF R ………………………. PER MONTH. SIGNED AT BLACKHEATH THIS ___________ DAY OF _____________ YEAR _________________ PRINCIPAL PAYEE’S SIGNATURE: ______________________
PLEASE ENSURE THAT EACH PAGE HAS BEEN INITIALED.


DETAILS OF PERSON RESPONSIBLE FOR SCHOOL FEE PAYMENT
NAME:
…………………………………………………………………………………… …………………….…………………………………….+ COPY OF I.D. …………………………………………………………… ……………………………………………………………… PHYSICAL ADDRESS: ……………………………………………………………… ……………………………………………………………… FOR THE PURPOSE OF ALL LEGAL PROCESS IN THIS MATTER, I ELECT MY PHYSICAL ADDRESS, AS STATED ABOVE, AS MY DOMICILIUM CITANDI ET EXECUTANDI E MAIL: ………………………………………… ………………………………………… …………………………….………….FAX NO: …………………………………… CURRENT EMPLOYER: ………………………………………………………. BUSINESS ADDRESS: …………………………………………………………. ……………………………………………………………
ONE TERM’S NOTICE IS REQUIRED OF INTENTION TO REMOVE A CHILD FROM THE
BABY CARE.

SIGNED:……………………………AT BLACKHEATH THIS………………DAY
OF …………………………201___
NAME: ……………………………….
RELATIONSHIP TO CHILD:………………………………
PLEASE ENSURE THAT EACH PAGE HAS BEEN INITIALED.
271 BEYERS NAUDE DRIVE
BLACKHEATH EXT.1
TEL: (011) 476-3649
FAX: (011) 476-3648

INDEMNITY FORM
I _______________________________________________________ (full names), the undersigned being the parent/legal guardian of ___________________________________________ (child’s name in full) ____________________________________________ (child’s name in full), hereby declare that I shall not hold Wishing Wells Baby Care / Nursery School, or any representative / staff member liable or responsible for any injury to my child/children or any damage, loss or theft of his/hers/their belongings, or for any other unfortunate event that may occur while in the care of, or on the property where Wishing Wells Baby Care / Nursery School operates. ______________________________ ITEMS REQUIRED FOR WISHING WELLS BABY CARE
1. Disposable Nappies, 2. Sterilised Bottle with Boiled Water 3. Container with Formula measured out for each bottle 4. Sterilised Dummies, if used 5. Creams & Powders 6. Change of Clothing, Clean Blanket 7. Bibs 8. Extra clothing in case of accidents
All Babies are required to supply the following per term:-
1. Box of tissues 2. Paper towel 3. Liquid soap 4. Wet Wipes

Source: http://www.wishingwells.co.za/ENROLMENT%20FORM%20BCARE%202014.pdf

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