From a stride to a leap

Request for Admission

Pre-Primary

Please note

Children entering Little Penguins need to be potty trained

Personal data of child

Full name (child)

Surname (child)

Name usually called (child)

Date of Birth (child)

Place of Birth (child)

Home Language (child)

Previous Pre-school (child)

Particulars of Parents / Guardians

Full name (father / guardian)

ID number (father / guardian)

Date of Birth (father / guardian)

Occupation (father / guardian)

Nationality (father / guardian)

Cellphone number (father / guardian)

Work telephone (father / guardian)

Home telephone (father / guardian)

Personal Email (father / guardian)

P O Box (father / guardian)

Street address (father / guardian)

Employer (father / guardian)

Particulars of Parents / Guardians

Full name (mother / guardian)

ID number (mother / guardian)

Date of Birth (mother / guardian)

Occupation (mother / guardian)

Nationality (mother / guardian)

Cellphone number (mother / guardian)

Work telephone (mother / guardian)

Home telephone (mother / guardian)

Personal Email (mother / guardian)

P O Box (mother / guardian)

Street address (mother / guardian)

Employer (mother / guardian)

General Information

Is your child allergic to anything? Please specify

Are all inoculations up to date?

Is your child potty trained? If so, since when?

Are there any other obvious health aspects the school needs to know about?

Name and age of sibling/s

School siblings attend

Where did you hear about our school?

Requested entrance date to Little Penguins

Are you also interested in a Montessori primary school education - Keystone (Elementary)?

Reasons you specifically looking for a Montessori education

Your Signature

Name and Surname of Parent

Date

Thanks for submitting application!