Enrolment Form

N.B.

Copies of both parents’ ID documents and a copy of your child’s birth certificate must accompany this form.

PARENTAL DETAILS

  • CONTACT DETAILS

  • EMERGENCY CONTACT- Other than parent

  • MARITAL STATUS

  • PARENT EDUCATION

  • FAMILY HISTORY

  • Did either parent experience concentration difficulties as a child?

  • As an adult, do you find it difficult to sustain attention?

  • Did either parent experience any kind of learning difficulties at school? If yes, please specify

  • Did either parent or extended family member (sibling, cousin) experience a reading or spelling problem?

  • Does anyone in the family have a speech, language and / or hearing problem?

  • Siblings: List their names, age, school, grade, any learning difficulties or special talents

 

LEARNER DETAILS

 

MEDICAL DETAILS

  • HAS YOUR CHILD HAD A THOROUGH MEDICAL EXAMINATION RECENTLY BY A

 

SCHOOL HISTORY

  • NAMES OF PREVIOUS SCHOOLS ATTENDED

  • FROM YOUR CHILD’S SCHOOL HISTORY, PLEASE MAKE A GENERAL COMMENT ON:

 

Verification