Registration Form

After school program registration

Step 1 of 3 - Child's details

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• Child's Name & Surname*
  Name Surname
• Age*
  Please enter a value between 5 and 16.
• School / Venue*
  Glenoaks SchoolHoly Family Preparatory SchoolKing Edwards Preparatory SchoolNorthgate Shopping CentreNova Pioneer OrmondeNova Pioneer NorthridingOlive Crest Social ClubSandton SinaiSeren HouseSOULThabang Primary School
  Click to select
• Grade registering for*
  Pre Grade RGrade RGrade 1Grade 2Grade 3Grade 4Grade 5Grade 6Grade 7
  Click to select
• Class*
  e.g. 5b
• How many years has your child been a member?*
  01234
  Click to select
• Lab Coat Size*
  4-55-66-77-89-1011-1212-13Larger 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
• CAPTCHA
• Phone
  This field is for validation purposes and should be left unchanged.