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BROADEN YOUR CHILD'S MIND
Registration
Registration Form
After school program registration
Step 1 of 3 - Child's details
0%
Child's Name & Surname
*
Name
Surname
Age
*
Please enter a value between
5
and
16
.
School / Venue
*
Glenoaks School
Holy Family Preparatory School
King Edwards Preparatory School
Northgate Shopping Centre
Nova Pioneer Ormonde
Nova Pioneer Northriding
Olive Crest Social Club
Sandton Sinai
Seren House
SOUL
Thabang Primary School
Click to select
Grade registering for
*
Pre Grade R
Grade R
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Click to select
Class
*
e.g. 5b
How many years has your child been a member?
*
0
1
2
3
4
Click to select
Lab Coat Size
*
4-5
5-6
6-7
7-8
9-10
11-12
12-13
Larger Size
Click to select
Parent/Guardian Name & Surname
*
Name
Surname
Phone number Phone
Email
Alternate Contact Name & Surname
Name
Surname
Alternate Contact Email
Alternate Contact Phone Number
1. The parent/guardian is liable for non-refundable enrolment fee, payable in advance in full before the Learner will be allowed to participate in the classes. 2. Fees are payable in advance at the beginning of each term 3. Fees shall not be reimbursed should a learner be absent for any reason 4. There will be no sessions during school holidays and public holidays. In the event that an instructor is unable to attend a class, written notice will be sent out to reschedule the class for any alternative day convenient to us. 5. If you wish to terminate this agreement, we require at least 1 (one) full terms written notice of your intention to do so. I, the parent/ guardian agree that my child will attend Little Scientists. I agree to pay all fees in advance at the start of each term. I consent to photographs of my child being taken and used for promotional purposes and on the website. I agree that sessions and activities are voluntary, and I accept the risks involved. I thereby indemnify and hold Little Scientists harmless against any claims resulting from death, injury or losses which the Learner may incur in terms of services rendered in this agreement, except in the event of gross negligence on our part as in accordance with the Consumer Protection Act. 11.
*
I have read and accept the Terms and Conditions
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