Knights Preparatory School Application Form 2017 Grade 000-7

Please attach a recent ID Photo of the student Knights Preparatory School Application Form 2017 Grade 000-7 Knights Preparatory School Webpage: www.knightsprep.co.za Milner Avenue, Kensington B, Randburg E-mail: admissions@knightsprep.co.za P. O. Box 4839, Randburg, 2125 Attention: Nicole Tel: (011) 789-6778/9 Application Fee: Acceptance Fee: R500 - Application fee is payable upon submission (non-refundable). No application will be processed unless the R500 application fee is paid. R5 940 Acceptance fee payable upon acceptance (non-refundable). This is not a deposit fee. APPLICATIONS WILL NOT BE PROCESSED UNLESS COPIES OF THE DOCUMENTS REQUESTED BELOW ARE ATTACHED. KINDLY INITIAL EACH PAGE OF THE APPLICATION. DOCUMENTS TO ACCOMPANY THIS APPLICATION: 1. The student s unabridged / abridged birth certificate and passport if available 2. Student s latest two school reports 3. Recent ID photo of student (attach above) 4. I.D. document of both parents/guardian s and person responsible for payment of fees 5. Financial Clearance Certificate from previous school (detach from application - Annexure A) 6. Proof of guardianship (if applicable) 7. S.A. Study Permit (Immigrants only) 8. Date of Application 8. Grade applying for Please note: This form is only an Application Form and does not automatically admit the student to Knights Preparatory School. I/We I.D number and I.D number parent/s or Guardian of (name of child) I.D number hereby consent and allow Knights or its appointed agents, permission to access my/our consumer profile on the database held by the relevant Credit Bureau/s and to verify my/our details as stated by me/us, on my/our Application Form submitted to the school. I have read, understand and I agree to the contents of this application form: NAME OF PARENT/GUARDIAN Please print SIGNATURE OF PARENT / GUARDIAN NAME OF PERSON RESPONSIBLE Please print FOR THE PAYMENT OF THE ACCOUNT SIGNATURE OF PERSON RESPONSIBLE FOR THE PAYMENT OF THE ACCOUNT

A. STUDENT INFORMATION: Surname: Name: Date of Birth: YYYYMMDD Child s ID Number: Home Address: Male / Female: Known as: Age: YYMM e.g. 12y4m First Language: Current Pre-School/Preparatory: Current Pre-School Preparatory Telephone Number: Current Grade: Grade applying for: Medical Aid Name: Main Members name: Medical Aid Number: Allergies: Please list all Name of Doctor: Nationality: (Required by Government for statistical reasons) e.g. South African Year of Entry: Medical Aid Plan: Doctor s Telephone Number: Population Group: (Required by Government for statistical reasons) e.g. African, Indian, Asian, White, Coloured, other Which Province do you reside in? B. FATHER / GUARDIAN INFORMATION: Surname: First Name: Marital Status: Single Married Widowed Divorced Spouse s Name: Home Address: Postal Address: P.O. Box Postal Code: Do you stay with the applicant? Yes: No: Identity Number/ Passport Number: Are you a South African Citizen? Yes: No: If not, give details of citizenship and South African resident status: Occupation: Company employed by: Work Telephone Number: Work e-mail Address: Home Telephone Number: Home e-mail Address: Do you attend a church? If yes, name of church Cell: 2

C. MOTHER/GUARDIAN INFORMATION: Surname: First Name: Marital Status: Single Married Widowed Divorced Do you stay with the applicant (child)? Spouse s Name Home Address: Postal Address: P.O. Box Identity Number/ Passport Number: Are you a South African Citizen? Yes: No: If not, give details of citizenship and South African resident status: Occupation: Company employed by: Work Telephone Number: Work e-mail Address: Home Telephone Number: Home e-mail Address: Do you attend a church? If yes, name of church Cell: Postal Code: D. GENERAL: Do you have any family and / or friends currently in the school? If yes, state the grade and name of such student/s. Please outline the two main reasons why you want your child to attend Knights Preparatory School. Do you have any other children of school-going age that you are not applying for? If yes, give reasons why they will not be attending Knights Preparatory School. How did you hear about us? Example: Friend, advert, church, current/past student, etc. Approximately how far do you live from school? (Required by GDE for statistical reasons.) 1. 2. (Please circle) 5kms or less 10kms 15kms 20kms 25kms or more E. MARKETING: During the course of the school year photographs of the children who have excelled or participated in special events at Knights may be published in newspapers, on Facebook or other social media. This is exciting for the children as they receive recognition for their endeavours. Please confirm below that you permit Knights Preparatory to use such photographs. I hereby give or do not give (delete as required) Knights Preparatory permission to use photographs of my children for the purposes of marketing the school. Signed: (Parent/Guardian) Date: 3

F. LEGAL GUARDIAN OR PERSON/S RESPONSIBLE FOR PAYMENT OF FEES: Surname: I.D. Number: Name: Marital Status: Are you a South African citizen? Yes: No: If not, details of citizenship and South African status: Occupation: Company employed by: Tel No: E-mail Address: In the event of the parents being divorced, is it required that a copy of the student s report be sent to the non-custodian parent and/or fee payer as well? Yes: No: If yes, the postal address to which a copy of the student s report is to be sent: Postal Code: In the event of the parents being divorced, the onus vests entirely on the person completing this form to ensure that the parent and/or guardian and/or other entity stipulated as the fee payer is in terms of the agreement of settlement and/or court order handed down in respect of such divorce, that the fee payer is correctly stipulated as in terms of such court order. In the event of the person responsible for payment of fees fails to effect payment of the fees when due, the person signing this application form shall be responsible for payment of any fees due to Knights Preparatory School. G. ENTITY (E.G. TRUST) RESPONSIBLE FOR PAYMENT OF FEES: Name of Entity: Is the said entity a close corporation, company or trust? Responsible person: If company, close corporation or trust, the registration number thereof is required: If a company, close corporation or trust, the relevant resolution authorising the said person to sign this application form is required: Street address: Postal address: Telephone number: (h) (b) (cell) E-mail address: If the entity or Trust fails to pay the fees for any reason whatsoever, the person signing this application form shall be responsible for payment of any fess due to Knights Preparatory School. 4

H. APPLICANT GENERAL INFORMATION 1. Is there any professionally tested and diagnosed learning difficulty with the student? If yes, explain and provide relevant documentation e.g. diagnostic test, eye test, psychologist report, etc. 2. Briefly outline student s sporting and or cultural participation to date. 3. Briefly outline student s hobbies and other interests. 4. In the event of divorce please attach any relevant documentation required by the school e.g. Restraining Order. 5. In the event of an emergency please give us alternative contact details: 5.1 Full Name (Mr/Miss/Mrs) Contact Number: Email Address: 5.2 Full Name (Mr/Miss/Mrs) Contact Number: Email Address: I. CONFIRMATION OF FEE STRUCTURE (To be read in conjunction with our Fee Policy and Procedures) I/We, the undersigned Of (which address/es I/We choose as my/our domicilium citandi et executandi hereby jointly and severally undertake to pay Knights Preparatory School fees as set out in the fee policy and procedures in respect of the following student(s): Full Name Surname Grade for 2017 I confirm that I have received, understood and accept the attached fees requirements from Knights Prep. Knights Fee Policy and Procedures Annual Fees Fee Payment and Debit Order Form After Hours and After Care Procedures and Fees Bank Details Knights College Standard Bank Randburg Chq Acc: 021667705 Signed Date 5

J. CONFIRMATION OF FEE PAYMENT (To be read in conjunction with our Fee Policy and Procedures) All parents are required to sign the debit order instruction; unless the fees are being paid by an alternative method. Should an alternative method be chosen please mark the correct box below, date and sign accordingly. You are welcome to pay the full amount owing on your statement by EFT, Cash or Credit Card provided that the payment reflects in Knight Prep s bank account by latest the 7th day of the month, any payments after this date will incur penalties (refer to pargraph 6). I/We shall be paying for our child/children s school fees as indicated below. Full Name Surname Grade Please select your payment method below Debit Order E F T Cash Credit Card K. DEBIT ORDER AUTHORISATION (To be read in conjunction with our Fee Policy and Procedures) I/We hereby authorise Knights Preparatory School to draw against my/our bank account on the 1 st day of each month. BANKING DETAILS FOR DEBIT ORDER Name of Account Holder: Name of Bank: Name of Branch: Branch Code: Account Number: Type of Account: Debit Order Amount: Varied (to include any adhoc aftercare) Signature of Account Holder: Signature (Parent/Guardian) Date Cell No: (for sms notifications of debit orders) 6

L. PARENT CONTRACT To be completed by Parent / Guardian and / or person and / or entity responsible for the payment of fees. We understand and hereby agree to be bound by the following terms and conditions: 1. Knights Preparatory School is an independent school and entry to the school is not guaranteed on application and / or interview. See the attached Admission Policy. 2. On acceptance and enrolment of the student, Knights Preparatory School requires the sum of R5 940.00 to be paid as an acceptance fee. Such acceptance fee is non-refundable. The parent/guardian, person or entity responsible for payment of the fees shall have no claim to repayment thereof. 3. Adherence to the terms and conditions of Knights Preparatory School Learner s Code of Conduct ( code ), as amended from time to time at Knights Preparatory School s discretion, a copy of which will be available on request (on website) and which code is deemed to be an integral part of this form. Additionally, parents are required to support the Christian ethos of Knights and children are required to participate in all activities in this regard. 4. In the event of non-payment of fees or breach of any other provision of this application or the code or for any reason whatsoever the Board of Knights Preparatory School shall in its sole discretion, be entitled to terminate this agreement with immediate effect. Knights Preparatory School has the right to unilaterally terminate the student s tuition at Knights Preparatory School on 30 days written notice to the parent/s and/or guardian/s and/or person or entity responsible for payment of the student s fees, or such shorter period as the Board of Knights Preparatory School deems appropriate in its sole discretion. The student shall be withdrawn from Knights Preparatory School at the end of the notice period in question or as per mutual agreement between Knights Preparatory School and the parent/guardian. 5. Fees are due in advance on the 1 st day of each month. 6. Parents and/or guardians and/or person/s responsible for payment of fees shall be jointly and severally liable in respect of the fees and other charges levied by Knights Preparatory School, the one paying the other to be absolved. This obligation is applicable notwithstanding the fact that both parents and/or guardians are either divorced and/or separated. 7. All applications for Grade 1 is subject to the applicant passing a professional recognised School Readiness test, the recommended age of the child must be 6 turning 7 in the year for Grade 1. 8. Once the student has been accepted into Knights Preparatory School, one term s written notice (4 months) of the student s intention to leave or withdraw from Knights Preparatory School and/or fees which will equate to not less than four calendar months in lieu thereof is required when the student leaves Knights Preparatory for any reasons whatsoever. Such written notice aforesaid is to be given not later than the 1st day of term. 9. Foreign students are required to pay for the full year in advance at the time of commencement at the school. 10. Knights Preparatory School endeavours to take such steps reasonably required to do what is necessary to keep the student out of harm, and free from loss, while in its charge and under its control, taking into account what can be reasonably foreseen and provided for in each such circumstance. Subject to the limitations placed on Knights Preparatory School right to exclude liability in terms of Section 103 of the School Education Act No 6 of 1995 (Gauteng Province), both parents and/or guardians jointly and severally indemnify Knights Preparatory School, its Director/s, employees and/or agents (who may be found to be vicariously liable) against any claim that the student or the parents and/or guardians may have in respect of any injury, loss or damage of whatsoever nature and howsoever arising while on Knights Preparatory School premises and/or school activities or outings off Knights Preparatory School premises and/or in their charge and/or under their control. 11. Knights Preparatory School is a gun free, smoke free and alcohol free environment. 12. Domicilium citandi et excutandi: The parties choose as their respective domicilia citandi et executandi for all purposes in terms hereof the addresses listed below: Father/ Guardian s Address: Mother/Guardian s Address: 13. I/We hereby grant Knights Preparatory School permission to appropriately process the above-mentioned personal information. 14. I/We, the parent and/or guardian and/or trustee of the trust and/or duly authorised person of the legal entity, declare, by our signature hereto, that the information contained herein is to the best of our knowledge and belief, both true and correct. 15. Student/s Name/s: Date: Father/Guardian s Name: Mother/Guardian s Name: Signature: Signature: 7

M. STATEMENT OF FAITH Preamble: Knights Preparatory School Inc. ( Knights ) is a school with an authentic Christian ethos. Knights beliefs as represented by its Statement of Faith below, provides the foundation for the vision, mission, policies, academic programmes and activities at Knights. All learners and Knights staff are required to adhere to the tenets set forth in the Statement of Faith at all times during their tenure at Knights. Knights academic programmes and activities will frequently espouse its uncompromising Christian values using Biblical examples. Prayer is encouraged and practised regularly by learners and Knights staff. Praise and worship takes place during the school day. All learners and Knights staff are required to participate in devotions, prayer, Bible Education, praise and worship. At Knights, this is what we believe: The Bible is the infallible Word of God, inspired by the Holy Spirit, and contains every answer to man's problems. 2 Timothy 3:16,17; 2 Peter 1:20,21 There is one God, existing eternally in three persons: God the Father, God the Son and God the Holy Spirit. John 10:30; John 14:26; Philippians 2:5-7 God is Love and He loves all people. It is His desire to reach out to those who are poor, oppressed, widowed or orphaned, and heals the broken-hearted. Psalm 68:5,6; 1 John 4:16 Man is created in the image of God but separated from God by sin. Without Jesus we cannot have a relationship with God. Genesis 1:26; 1 Timothy 2:5 We can have a personal relationship with God through salvation, God's free gift to man. It is not a result of what we do, but it is only available through God's unearned favour. By admitting we have sinned and believing in the death, burial and resurrection of Christ, and accepting Him as Lord, we can spend eternity with God. Ephesians 2:8,9; Romans 5:1; Romans 3:24 We believe in water baptism, as taught and demonstrated by Jesus, as the way for believers to identify with the death, burial and resurrection of Jesus. Matthew 28:19; Romans 6:4; Matthew 3:13-17 The Baptism of the Holy Spirit is a gift from God. He helps empower the believer to develop the character of Christ and live every day in God's will. Matthew 3:11; Acts 2:4 2 God gives all believers spiritual gifts. They are for the strengthening of God's people (the Church) and proof of God's existence and power to unbelievers. The gifts of the Spirit are active and relevant today. 1 Corinthians 12:4-11; 1 Peter 4:10 Sanctification is the ongoing process of allowing God's character to be developed in us. Romans 6:19; Galatians 5:22-25 Divine healing is active in the lives of people today through Jesus, who is the Healer. Healing includes physical, mental, emotional and spiritual restoration. Luke 9:11; Matthew 9:35; Acts 10:38; Matthew 10:1 The Bible describes hell as a real place. It is a place of suffering and a place of permanent separation from God for those who die without accepting Christ. God's desire is that no one be separated from Him for eternity, which is why He sent His Son, Jesus Christ, to earth. Hebrews 9:27; Revelation 20:12-15; John 3:16-18 Jesus will return and take all those who have accepted Him as Saviour to be with Him for eternity. Acts 1:11; 1 Thessalonians 4:13-17; Hebrews 9:28 We/I, and confirm that we/i are the parent/s of. We/I confirm that we/i have fully read and understood the Statement of Faith and preamble thereto, set out above, and confirm that we/i and my/our child/children agree to unconditionally abide by the tenets of faith set out therein and its ongoing application at Knights. Signature Signature Date 8

N. AFTERHOURS AND AFTERCARE PROCEDURES ALL PARENTS ARE TO READ AND SIGN THIS DOCUMENT REGARDLESS OF WHETHER YOUR CHILD ATTENDS AFTERCARE OR NOT. We have many children registered in our Aftercare programme, we would like to take the opportunity to explain the Aftercare procedure in detail in order to avoid any confusion. Please read through this letter with great care and should you have any questions please contact Juanita Schippers or Sarah Moodley. 1) Registration: Registration for Aftercare will be done on an annual basis. Every child that attends aftercare whether they attend in a full time or adhoc capacity, is required to fill in a registration form. If there is a chance that your child will attend aftercare at all for whatever reason, a form needs to be completed. This is for record purposes and so that we have all your child s details should we need to contact you or should there be an emergency. Please complete your form and return it to the aftercare centre if you have not done so already. 2) Aftercare Times: Full Day aftercare times are from 2:00pm (Monday to Thursday) and 1:30pm (Friday) until 5:30pm Half Day aftercare times are from 2:00pm (Monday to Thursday) and 1:30pm (Friday) until 3:30pm Extra Mural waiting facility This is for a child that is waiting for an extra mural to commence (limited to a 1 hour waiting period) 3) Aftercare Billing Rates: Full Time Monthly aftercare rate: includes lunch, homework supervision and games/craft activities is from 1:30pm/2:00pm until 5:30pm Billing - R1533 per month Adhoc Full Day aftercare rate: includes lunch, homework supervision and games/craft activities is from 1:30pm/2:00pm until 5:30pm Billing - R120p/d Adhoc Half Day aftercare rate: includes lunch, homework supervision and games/craft activities is from 1:30pm/2:00pm until 3:30pm Billing R70p/d Extra Mural Waiting Facility aftercare rate: Does NOT include lunch For a school extra mural and is limited to one hour Billing R35p/d PLEASE NOTE: Aftercare runs from 13:30-17:30, any child collected after these hours will be charged a late penalty fee of R180 for every 30 minutes thereafter. 4) Aftercare waiting class procedure: Pre-School Waiting Class starts as from 13:00 and ends at 13:30. Please collect your pre-school child from the Waiting Class area at the Pre-School building. There is NO Waiting Class from Grade 1 to 3, as their school day ends at 2:00pm on a Monday and Tuesday due to integrated sport and 1:30pm on a Wednesday to Friday with some selected extra murals ending at 2:30pm. Please note that the Waiting Class facility is available for siblings only. If your child is not booked into Aftercare, has no siblings at our school or is not attending an extra mural activity on a particular day, he/she must be collected at the correct dismissal time. Children not collected on time will be sent to Aftercare and parents will be charged accordingly. There is no Waiting Class on Friday on Fridays as the whole school finishes at 13:30. 9

N. AFTERHOURS AND AFTERCARE PROCEDURES 7) Transport companies: We also seem to have a problem concerning the various transport companies not collecting children straight after school or an extramural activity. Please note that it is the parent s responsibility to communicate the correct times to the company concerned, ensuring that your child is not left unattended. Children found to be waiting more than 15 minutes after their pickup time, will be sent to Aftercare and parents will be charged according to the Adhoc rate. This is only to ensure the safety of your child while on the school s property. Drivers may not send another pupil to sign out an Aftercare pupil. This is the driver s responsibility and children will not be handed over. 8) General: Please do not put your child in a position where they have to hide and lie to the supervising teachers in order to avoid being sent to Aftercare. This is not what we teach our children and we do not want to encourage this behaviour at Knights. Please remind your child not to wait at the palisade fencing/ parking lot if they are not being fetched directly after school. In the event of you running late, please contact the office and arrangements will be made to assist your child. Aftercare children must be signed out by the parent, au pair or driver if collected from the Homework Class or Sports field. This minimises the risk of incorrect invoicing and ensures your child s safety at the same time. Please be assured that Knights Aftercare Centre provides a warm, supportive environment for your children to relax, do homework and enjoy their afternoons. We hope that we can work together, making our school a better and safer place. Please do not hesitate to contact Sarah Moodley if you have any queries or concerns. Aftercare can also be reached via the school switchboard press 5 for the Aftercare Extension, but only after 1pm. Please feel free to contact the following people should you have any queries regarding aftercare. Juanita Schippers Deputy Principal jschippers@knightsprep.co.za Sarah Moodley Aftercare Manageress aftercare@knightsprep.co.za O. SCHOOL FUNCTIONS AND SPORT FIXTURES PROCEDURE 1) After School Functions and Sport Fixtures: In the past we had a major problem with children being left after functions for over an hour after an event had ended. This is a serious safety risk for all the parties concerned. This year we have had to put strict procedures in place to ensure the safety of both the learners and teachers alike. For this reason, we will be implementing a late penalty for parents who do not fetch their child timeously after a school function. While we understand a parent being a few minutes late, we would like to avoid the school being used as a babysitting service for certain parents. The same penalty applies to sport fixtures. Should your child not be picked up at the time stipulated in the letter, they will either be sent to our Aftercare facility (during aftercare hours), or a late penalty will apply. The late penalty for 2017 will be R200 per half an hour after the stipulated end time of a function or fixture. Please could we ask you to complete the reply slip below and return it to your child s register teacher. Yours in Christ Michelle McMenamin Principal 10

O. SCHOOL FUNCTIONS AND SPORT FIXTURES PROCEDURE Knights Aftercare and Afterhours Reply Slip (return this page to your child s teacher) Name of your child: Grade and class: Date: NO my child will not be attending aftercare YES my child will be attending aftercare If your child will be attending aftercare please tick the appropriate box: A monthly Full time Child (R1533 per month) An Adhoc basis when is required (R120 full day/ R70 half day) I have completed a registration form I would like a registration form to complete I have read this letter and understand the aftercare procedure and will ensure that I comply with the rules and regulations pertaining to times, rates and the safety of my child while in the care of the aftercare facility. I have also read and understood the afterhours procedures and understand that should I be late to fetch my child after functions or sporting fixtures I will be liable for the late penalty. Signed: Parent s Full Name: 11

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Annexure A FINAL FINANCIAL CLEARANCE CERTIFICATE (To be completed by the previous school) Full name of Pupil Current School Fees Paid to Date Fees Outstanding Notice Given YES NO Comments Signature of Principal/Bursar Designation Full name Date School Stamp Milner Road, Kensington B, Randburg Tel (011) 789-6778 Fax 086 529-3953 P O Box 4839, Randburg, 2125 Email inquiries@knightsprep.co.za Website www.knightsprep.co.za Directors: W. Swart (Chair), L. A. Scott, R. McDonald, C. Ton 13