Application form

2027

Application for admittance

Rooha Pre-Primary and Aftercare

Please mark your choices:

Pre-Primary

Pre-Primary with lunch

Aftercare half until 15:00

Aftercare full until 17:30

Choose Grade option:

Grade RRR (Born 2023)

Grade RR (Born 2022)

Grade R (Born 2021)

Recent face photo (ID size)

Child details:

Last name

Birth name

Name: (Name child will learn to write)

Home Language:

Teaching Language (choose between Afrikaans & English)

Date of Birth

Year

Month

Day

Gender

Male

Female

Religion

Child ID No

Grade of admittance

Number of children in family

Is your child the 1st, 2nd, 3rd etc. child in family?

Older siblings previously in school? (Name, Surname, Year, Class)

Emergency numbers:

Name and Surname (Not Parents)

Contact Number

Relationship

Previous Educational details:

Name of previous school

Address of school

Tel no. of School

Period attended

General:

Allergies:

Important Illnesses/disabilities that the school must know about (eg, asthma, epilepsy, etc.)

Illnesses that the child has had:

Chronic medication or daily medication that must be taken at school (eg. insulin)

Operations that child had (type and date)

Any evaluation or support (eg. Occupational-, Speech- or Physiotherapy, Remedial or Psychological help)

State the reason for therapy

Name and Contact details of therapist

Rooha retains the right to request that a child leave the school due to aggressive behaviour that might affect the well-being of other children, as well as in the event of false information provided by the parents.

Toilet Routine, Any Problems?

All Rooha learners must be potty-trained once admitted into school.

Problems with the following (mark where applicable)

Please supply details for above mentioned, if any.

Age learner started to:

Crawl

Walk

Talk (3-5 word sentences)

Any Problems during pregnancy or birth

Describe your child's eating and drinking habits:

What time does your child go to sleep?

General information regarding the family tendencies, disabilities and ailments

Does he/she mostly play inside or outside? Favourite type of play and toys?

Any friends? State ages

Stories read at home

Many

Few

None

Interest in music or art

Music

Art

Mark personality traits of learner

Confidence

Too much

Too little

Enough

Other

Responds to instructions and reprimands

Well

Not Well

Parents discipline style at home

Name of Medical Aid

Doctor

Doctor contact

Any other information that Rooha needs to know about your child

Please feel free to discuss any changes in behaviour, eating habits, sleeping patterns, interesting events and small achievements with us.

The selection criteria is confidential and set by Management.

Parent details

The parent/guardian hereby selects the following physical address(es) as the parent/guardian domicilium citandi et executandi for all purposes of these Terms and Conditions and for the service of any legal documents in terms hereof.

Father Name & Surname

Mother Name & Surname

Father Physical address

Mother Physical address

Father Cell

Mother Cell

Father Email

Mother Email

Father postal address

Mother postal address

Father Occupation

Mother Occupation

Work Tel

Name of Employer

Address of Employer

At which Address does learner live

Mother

Father

Both

Marital status of parents

Married

Divorced

Father ID no

Mother ID no

Signed at:

Date signed:

Year

Month

Day

Signature

Drawing mode selected. Drawing requires a mouse or touchpad. For keyboard accessibility, select Type or Upload.

NB: The following documentation is compulsory and needs to accompany the application form.

* An ORIGINALLY Certified copy of the child's birth certificate. Original Certified Copy to be handed in when the application has been approved.

* A copy of the immunisations on the clinic card.

* Proof of physical address.

* Copies of identity documents from both parents.

NB: Fields that are marked with * are compulsory. Please notify us if any of the above details change.

NB: Note that a R1000 non-refundable registration fee is payable within 48 hours of acceptance.

NB: Note that a Security fee of R1100 is payable within 2 months of acceptance.

Certified copy of Child birth Certificate

Proof of physical address

Child clinic card - immunisations

Father ID

Mother ID