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2018 Enrolment Form

2018 Enrolment Form

 Email

The Sinai Academy

@ Chabad of the West Coast

15 Curlewis Road Blouberg, 7441

Phone: 021-557-7560 Fax: 021-557-9522

Email- director@sinaiacademy.co.za

Web: www.sinaiacademy.co.za

2018 Enrolment Application Form

Preferred Enrolment Date: _________________________

 

PARTICULARS OF PUPIL

 

Child’s Surname:

 

 

Child’s First Name:

 

 

Preferred First Name:

 

 

Child’s Hebrew Name:

 

 

Date of Birth:

 

Time of Birth (Needed for Hebrew Birthday) :

 

 

Gender:

 

Home Language:

 

 

Home Address:

 

                                                                                                          Postal code:

 

Home Phone:    (      )                                                    

 

 

Father’s Name:                                                                     ID:                                                               

 

Father’s Occupation:                                                Work No.:   (       )

Cell No.:                                          Email address:

 

 

Mother’s Name:                                                                    ID:

 

 

Mother’s Occupation:                                              Work No.:    (     )

Cell No.:                                         Email address:

 

 

Emergency Details:

 

Contact Name:      ______________________________  Relationship:  ____________________                                           

Phone:    

Cell  :                                                

              

Marital Status

 

     Married        Separated         Divorced   

If separated/divorced, for how long?

                  

 

Please list any conversions in the family:

(Please include copy of conversation certificate)

 

 

Has your child attended Nursery pre-school or classes before (if yes, where)?


      No      Yes – Pre-school(s):

Indicate child’s particular strengths and/or deficiencies (physical, emotional, ineffectual)

 

 

Does your child have siblings?

    

Brother (s)                      Sister (s)

1. Name:

   Birthday:

   School:

 

2. Name

   Birthday

   School:

 

3. Name:

   Birthday

   School:

 

 

 

 

YES

 

NO

 

 

      I agree to my child being involved in a general assessment by a registered

     therapist.

 

      I agree to have my child photographed for personal profiles and/or

     school PR.



 

 



CHILD HEALTH INFORMATION

 

Emergency Transportation

 

In case of emergency, G-D forbid, I give Sinai Academy and its employees my permission to

 

have my child _________________________________________________transported to the

 

nearest doctor/dentist or hospital/clinic for emergency medical care.

 

Parent/Guardian’s signature _________________________________  Date: ______________

_




Doctor Information

Doctor’s Name:

Phone: (       )

Dentist’s Name:                  

Phone: (       )

Medical Aid:                                                                  Medical Aid No.



 

 

 

 

 

 

 

***IMPORTANT***



 

Health Information

 

X if not applicable

Allergies (food, medication, environmental) and precautions, reactions and treatment:

 

 

Medications, food supplements, modified diet currently being administered:

 

 

Chronic Physical Problems:

 

 

History of diseases the child has had:

 

 

Any additional health or enrollment information you feel we should know about your child:

 

 

 

Immunization Record

 

 

YES

 

NO

 

Has your child had all the required immunizations to date?

If yes,  please supply us with a copy of your child’s Immunisation Card. If not, please supply us with your alternative immunization plan.

 

 

 

 







 

 

 

 

 

 

 

 

TUITION FEES

Tuition Fees are invoiced on a termly basis

Registration Fee of R2,000.00 (non-refundable)

 

 

LEVEL / GRADE

 

12 MONTHLY PAYMENTS

 

QUARTERLY / TERMLY  PAYMENTS

 

 

1 ANNUAL PAYMENT

(5% Discount payable by 31st of Jan 2018 )

 

Toddlers

5 days

3 days

2 days

5 days

3 days

2 days

5 days

3 days

2 days

 

R3,535

 

R2,121

 

R1,415

 

R10,606

 

 

R6,362

 

R4,244

 

 

R40,304

 

 

R24,177

 

 

R16,126

 

 

Junior

Pre-primary

 

R4,041

 

R12,124

 

 

R46,072

 

 

Senior

Pre-primary

 

 

R4,439

 

 

R13,316

 

 

R50,599

 

 

Primary

 

Junior

Grades 1 to 3

 

Senior

Grades 4 to 6

 




R5,676



R6,381

 




R17,028

 

 

R19,143




R64,706

 

R72,744




ENRICHMENT / AFTERCARE FEES

Enrichment/Aftercare Fees are invoiced on a monthly basis

 

Lunch to 3:45pm

Monday to Thursday

Fridays to 2:45pm

 

 

12 MONTHLY PAYMENTS

 

R968.00

 

QUARTERLY/TERMLY

PAYMENTS

 

R2,904.00

 

1 ANNUAL PAYMENT

 

 

R11,616.00

 

 

Lunch to 3:45pm

Monday to Thursday

Fridays to 2:45pm

 

Daily / Casual Rate

 

R60.00 per day

 

 

 

n/a

 

 

n/a

                       

 

IMPORTANT INFORMATION

A non-refundable Registration Fee of R2 000 is applicable

      Sibling discounts are as follows: 10% second child, 15% third child, 20% fourth child, 25% fifth child, etc... on Tuition fees only.

      Late pick-ups from school will be sent to aftercare and charged accordingly.  Late pick-ups from aftercare will be charged a fee of R36.00 for every 15 minutes late.

      Toddler fees include:  daily snack, weekly music, etc.

      Pre-primary fees include: daily snack, weekly music, Drama, etc

      Primary fees include: daily snack and lunch, weekly sport, computers, art/drama, music.

      A copy of your most recent statement of account for school fees of your child’s prior school (to determine fees charged and settlement of all fees due).

      Copy of your most recent remission award letter (or equivalent notification) from your child’s prior school

 

ADDITIONAL COSTS

 

 

1.          Stationery Levy for Primary, R1 450.00 per year (may be paid off monthly).  Individual

              boxes per grade requirements are ordered through the Waltons stationery scheme.

 

2.          Primary text books – ordered by Sinai Academy.  Parents may buy these from Sinai or

             rent at 25% of the cost for use throughout the year.  Lost or damaged books will need

             to be replaced by parents.  Parents will be invoiced accordingly.

 

3.         Primary uniform costs- please ask Mandy in reception.

 

4.        Primary Siddur/Chumash,etc…(per grade) – costs to be advised.

 

5.         Additional outings/intings- costs to be advised.

 

6.          In the event that a family is not a member of a Shul, a Shul membership to “The Shul

             of Blouberg” will be a pre-requisite for enrolment into The Sinai Academy, please  

             enquire at Reception of our Shul membership Fees and Membership form. Shul fees

             are subject to an annual increase.

METHODS OF PAYMENT

1.      Full annual payment by 31st January 2018 – a 5% discount has been levied on this amount.

2.      Twelve (12) Post dated cheques to be dated 1 st of each month.  Cheques must be made payable to Sinai Academy.

3.      Stop Orders – 1 st of the month.

4.      Quarterly post dated cheques to be dated the first day of each new term. Cheques must be made payable to Sinai Academy.

5.      Debit orders – payable on the 1st of the month.

6.      Direct internet payment – banking details as follows:

 

 

 

 

The Sinai Academy, First National Bank

Account number: 6225 404 5696, Tableview, Branch code: 203809

Please use your surname as reference and forward payment confirmation to: accounts@sinaiacademy.co.za

For Financial Assistance Applications email Mandy at:

admin@sinaiacademy.co.za

 

FEES POLICY

School and Aftercare fees have been determined per annum.  They have been divided into 4 terms and then further into monthly amounts in order to make payment easier for parents.  Fee structure conditions remain unchanged irrespective of your child’s school attendance.

Term 1:           January, February, March

Term2:            April, May, June

Term 3:           July, August, September

Term 4:           October, November, December

Our policy with regard to late admittance is the following:

      Learners in attendance for two thirds or more of the term will be liable for a full term fees

      Learners who are admitted at anytime during the last month of a term will be liable for one full months fees of that term

1.       All fees are payable in ADVANCE and must be paid on time.

2.       One full terms written notice is required when leaving the school in order to avoid being liable for fees.

3.       All fees are subject to change with notification.

4.       School fees are invoiced termly and Aftercare fees are invoiced monthly.

 

PERSON RESPONSIBLE FOR PAYING THE ACCOUNT:

 

Name: __________________________________ID: __________________________

     

Contact Details: _______________________________________________________

 

E-mail:_______________________________________________________________

 

Postal Address: ____________________________+__________________________

    

Invoices will be emailed.  A hard copy will be supplied on request.

 

 

 

 

 

 

 

CONTRACT

Please note that we require ONE full terms notice, in writing, should you wish to take your child out of the school.  Should this notice not be received, you will be liable for the terms fees.

The application will be complete when this form is submitted with:

a.                  The non-refundable registration fee of R2 000

b.                  Certification of Jewish identity e.g. Jewish marriage/ Bris certificate/conversion.

c.                   Any medical/allergy certification/ immunization cards

 

Please note that acceptance will be subject to numbers and determined after the school has revised your application form. The school may request to interview your child.

 

I, ______________________________________________, the parent/guardian of

 

______________________________________ agree to the terms and conditions

 

and validate all information supplied on this form.



Signature of Parent/Guardian:  __________________             Date:________________________

 

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