Application Form

APPLICATION FORM

Nature of your application*

Enrolment to be selected if your child will be at any given school for a month or longer

School of choice*

Select the school to which you wish to apply

Applicants*

Select number of children you wish to enrol

PARENT(S)/GUARDIAN(S)

Relationship*

Title, Name and Surname*

Prefix

First Name

Last Name

Marital status*

Date of birth*

ID/Passport number*

Mobile number*

Email address*

Company of employment*

Position at work*

Residential address*

Address Line 1

Address Line 2

City

State/Province

ZIP / Postal

Nationality*

Upload copy of ID/Passport

No File Chosen

File uploads may not work on some mobile devices.

Relationship

NOTE: We require details of both parents of the child, as printed on the child's unabridged birth certificate. In the event only one parent is listed in this application, kindly attach below a signed letter of consent to enrol the child at our school from the omitted parent or a court judgement/confirmation/decree confirming your right to enrol your child in our school. This requirement may be waived where the child only has one legal guardian. The school reserves the right to decline any application which does not meet its stated requirements and admission is at the sole discretion of the school.

Supporting documentation of omitted parent

No File Chosen

File uploads may not work on some mobile devices.

Signed consent of omitted parent in the application or a copy of relevant court order

Title, Name and Surname*

Prefix

First Name

Last Name

Marital status*

Date of birth*

ID/Passport number*

Mobile number*

Email address*

Company of employment*

Position at work*

Residential address*

Address Line 1

Address Line 2

City

State/Province

ZIP / Postal

Nationality*

Upload copy of ID/Passport

No File Chosen

File uploads may not work on some mobile devices.

CHILD'S INFORMATION

Name & surname of child*

Gender*

Date of birth*

Birth Certificate number*

ID/Passport number*

Nationality*

Home language*

With whom does the child reside?*

Desired start date*

Age at desired start date*

E.g. 5 or 1.5

School programme (As applicable at your school)*

School to provide breakfast & morning snack?

School previously attended

How many sibling(s) does the child have at home?*

Does the child have any sibling(s) at the school?*

Name of sibling(s) currently at the school

List any dietary restrictions

List any allergies

List any medical condition(s)

Let us know of any conditions of which we should be aware

Upload copy of birth certificate

No File Chosen

File uploads may not work on some mobile devices.

Upload copy of ID/passport

No File Chosen

File uploads may not work on some mobile devices.

2ND CHILD'S INFORMATION

Name & surname of child*

Gender*

Date of birth*

Birth Certificate number*

ID/Passport number*

Nationality*

Home language*

With whom does the child reside?*

Desired start date*

Age at desired start date*

E.g. 5 or 1.5

Selected school programme (ONLY as applicable at your school)*

Half Day: until 13:00 | Full: 17:30 | Aftercare: from 13:00 | Day Visitor e.g. Holiday Club

School to provide breakfast & morning snack?

School previously attended

How many sibling(s) does the child have at home?*

Does the child have any sibling(s) at the school?*

List any dietary restrictions

List any allergies

List any medical condition(s)

Let us know of any conditions of which we should be aware

Upload copy of birth certificate

No File Chosen

File uploads may not work on some mobile devices.

Upload copy of ID/passport

No File Chosen

File uploads may not work on some mobile devices.

3RD CHILD'S INFORMATION

Name & surname of child*

Gender*

Date of birth*

Birth Certificate number*

ID/Passport number*

Nationality*

Home language*

With whom does the child reside?*

Desired start date*

Age at desired start date*

E.g. 5 or 1.5

Selected school programme (ONLY as applicable at your school)*

Half Day: until 13:00 | Full: 17:30 | Aftercare: from 13:00 | Day Visitor e.g. Holiday Club

School to provide breakfast & morning snack?

School previously attended

How many sibling(s) does the child have at home?*

Does the child have any sibling(s) at the school?*

List any dietary restrictions

List any allergies

List any medical condition(s)

Let us know of any conditions of which we should be aware

Upload copy of birth certificate

No File Chosen

File uploads may not work on some mobile devices.

Upload copy of ID/passport

No File Chosen

File uploads may not work on some mobile devices.

ADDITIONAL INFORMATION

Name & surname of child(ren)'s doctor*

Phone number of your child’s doctor*

Details of your child(ren)’s medical aid*

Are any of the these medical conditions relevant?*

Fever fits Seizures Epileptic fits None of these

Other:

Preferred method of payment (NO CASH)*

If other, please provide details

Person responsible for payment of fees*

If other, please provide details

Email for Accounts*

Second Accounts Email

Provide name/surname, email and mobile phone*

List below persons AUTHORISED to collect your child(ren) from school*

Provide name and surname of the person and in bracket their relationship to the child(ren)

Name and contact details of emergency contact*

Name, relationship, contact details of next-of-kin*

Relationship of next of kin to applicant*

How did you find out about us?*

Did you visit the school prior to applying?*

May we register you for MySchool Programme?*

Do you have a fees discount promotional code?*

Provide promo code (NO SPACES)*

Are you applying for Little Ashford SWITCH?

Provide additional information for our attention

SUBMISSION

Does the applicant consent to the school's Conditions of Admission?*

Does the applicant consent to the school's term notice prior to withdrawing the child for whatsoever reason?

Term Notice (otherwise liable for cancellation fee equivalent to 2 months' fees)

Name and surname of submitting person*

First Name

Last Name

Email address of submitting person*

Your overall rating of our application process*

Your feedback is always appreciated and helps us improve!

How do we improve our rating*

Signature of submitting person*

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Use your mouse or finger to draw your signature above

Campaign Source

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GCLID (Google Click Identifier)

This hidden field has been added by Attribution to CRM Plugin to store GCLID (Google Click Identifier) in this Form's submission table

Campaign Name

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Campaign Content

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Campaign Term

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Campaign Medium

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Confirmation Page

Good day,

Thank you for taking the time to complete our application form for School of choice.

Kindly take a moment to review your submission.

For ease of reference, and your review and signature, our Conditions of Admission are available here.

With kind regards,

The Little Ashford Team

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