Bluebird Pre-Primary School & EDUCATION CENTRE

Tel (011) 442-816014 Hume Road, Dunkeld West, 2196 Johannesburg. P.O. Box 413683, Craighall Park, 2024.

APPLICATION FORM I, the undersigned, herewith make an application for my child to attend Bluebird Pre-Primary School. Please complete in full: NAME OF CHILD: ……………………………………………………. DATE OF BIRTH: ……………………………………………………. YEAR OF ADMISSION INTO BLUEBIRD: ……………………. PHYSICAL ADDRESS: ……………………………………………. ……………………………………………………………………………. PREVIOUS SCHOOL/S ATTENDED: …………………………………………………………………………………………………………… …………………………………………………………………………………………………………… DETAILS OF MOTHER: NAME: …………………………………………………………….. PHYSICAL ADDRESS: ……………………………………………. ……………………………………………………………………………. OCCUPATION: …………………………………………………….. HOURS OF WORK: …………………………………………….. BUSINESS: …………………………………………………….. WORK TEL:

HOME TEL:

CELL NO:

E-MAIL/FAX

Bluebird Pre-Primary School & EDUCATION CENTRE

Tel (011) 442-816014 Hume Road, Dunkeld West, 2196 Johannesburg. P.O. Box 413683, Craighall Park, 2024.

DETAILS OF FATHER: NAME: ………………………………………………………………………….. PHYSICAL ADDRESS: ………………………………………………………….. ………………………………………………………………………………………….. OCCUPATION: ………………………………………………………………….. HOURS OF WORK: ………………………………………………………….. BUSINESS: ………………………………………………………………….. WORK TEL:

HOME TEL:

CELL NO:

E-MAIL/FAX

Please Note: 1. An administration fee of R300.00 must accompany this form. 2. A non-refundable entrance fee of R3000.00 is required when accepting the offer of a

place. 3. A term’s notice, in writing, must be given in advance, if your child is leaving the

school. ……………………………………………………… ………………………… SIGNATURE DATE Banking Details: Bluebird Nursery School Standard Bank Jan Smuts Avenue Branch Code: 00-42-05 Account No: 001971778