0% found this document useful (0 votes)
86 views8 pages

ECLAH Application Form 2025 Cosmo City

The document is an enrolment form for ECLAH Pre-school for the year 2025, requiring detailed information about the child, parents, and emergency contacts. It includes sections on safety, medical history, development milestones, and school policies regarding fees, registration, and uniform requirements. Additionally, it outlines the school's operating hours, holiday schedule, and payment methods for school fees and events.

Uploaded by

leratomabona12
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
0% found this document useful (0 votes)
86 views8 pages

ECLAH Application Form 2025 Cosmo City

The document is an enrolment form for ECLAH Pre-school for the year 2025, requiring detailed information about the child, parents, and emergency contacts. It includes sections on safety, medical history, development milestones, and school policies regarding fees, registration, and uniform requirements. Additionally, it outlines the school's operating hours, holiday schedule, and payment methods for school fees and events.

Uploaded by

leratomabona12
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

5359 North Carolina Crescent

Cosmo City Ext.5


Cell: 083-785-5328 / 083-516-2682
Email: [email protected]
Web: www.eclahpreschool.co.za

FOR OFFICE USE ONLY:


Birth certificate Clinic card Mother’s ID Father’s ID
Start Date: End Date:

ENROLMENT FORM 2025


Please do not leave any section blank. Write “N/A” if it is not applicable
CHILD’S DETAILS
NAMES: PREFERRED NAME
ID/PASSPORT NO.: SURNAME:
DATE OF BIRTH: DAY MONTH YEAR
NATIONALITY: Country of birth GENDER Boy Girl
HOME LANGUAGE:
HOME ADDRESS:

UNIFORM SIZE: 1-2yrs 3-4yrs 5-6yrs

PREVIOUS SCHOOL DETAILS


NAME OF SCHOOL:
CONTACT PERSON: TEL:
SCHOOL ADDRESS:
REASON FOR
LEAVING:
LEGAL GUARDIAN 1 / FATHER’S DETAILS
NAME & SURNAME MR / DR / PROF / REV
ID/PASSPORT NO.: NATIONALITY Country of birth
HOME ADDRESS:
COMPANY NAME: OCCUPATION
WORK ADDRESS:
CELL WORK EXT.
CONTACTS: WhatsApp

EMAIL

LEGAL GUARDIAN 2 / MOTHER’S DETAILS


NAME & SURNAME MISS / MRS / MS / DR / PROF / REV
ID/PASSPORT NO.: NATIONALITY Country of birth
HOME ADDRESS:
COMPANY NAME: OCCUPATION
WORK ADDRESS:
CELL WORK EXT.
CONTACTS: WhatsApp

EMAIL

EMERGENCY CONTACT’S DETAILS (excluding parents)


FULL NAME:
ID/PASSPORT NO.: RELATIONSHIP WITH CHILD
CONTACTS: CELL WORK EXT.

INITIAL: 1 Initials:
5359 North Carolina Crescent
Cosmo City Ext.5
Cell: 083-785-5328 / 083-516-2682
Email: [email protected]
Web: www.eclahpreschool.co.za

Please do not leave any section blank. Write “N/A” if it is not applicable
SAFETY & SECURITY INFO
DETAILS OF PEOPLE THAT ARE PERMITTED TO BRING & COLLECT YOUR CHILD
FIRST PERSON SECOND PERSON THIRD PERSON
FULL NAME:
ID/PASSPORT NO.:
RELATIONSHIP WITH CHILD
CONTACTS:
Please notify the school if someone that is not mentioned above will be collecting your child on a particular day.

MARKET RESEARCH INFO


Where / How did you hear GOOGLE JOZIKIDS FACEBOOK REFERRED FLYER STREET AD
about ECLAH Pre-school? BY:

Have you previously If yes, please give details:


applied to the school?

Have any of your children If yes, please give details:


ever attended at ECLAH?
Name & Surname: Year Attended:

PLEASE NOTE: The following information is required so that we can have a better understanding of
your child and his/her needs, and help us to see how best to meet those needs.
If your child is seeing a specialist for any reason whatsoever, please attach the specialist’s report.

FAMILY BACKGROUND
FAMILY INFORMATION
Is your child adopted? Yes No If yes, at what age?
Does your child know about the adoption?
Parents’ Marital status Married Separated Divorced Unmarried
Who does the child live with? Mother Father Both Parents Other (specify)
Number of siblings Brothers Ages Sisters Ages
Child’s place in the family Eldest Middle Youngest
Is there anyone in the family with a disability?
If yes, please specify:
What family activities does the child engage in on weekends and/or holidays with MOMMY?

What family activities does the child engage in on weekends and/or holidays with DADDY?

What family activities does the child engage in on weekends and/or holidays with SIBLINGS?

Any other family related things that we need to be made aware of?

SOCIAL RESPONSIBILITY
COMMUNITY INVOLVEMENT
Are you involved in any community projects? Yes No
If yes, please give details:

INITIAL: 2 Initials:
5359 North Carolina Crescent
Cosmo City Ext.5
Cell: 083-785-5328 / 083-516-2682
Email: [email protected]
Web: www.eclahpreschool.co.za

MEDICAL & HEALTH INFORMATION


NB: The medical information provided on this form is confidential and will not be shared with anyone except for a
medical professional that is treating your child in the case of an emergency.
Please do not leave any section blank. Write “N/A” if it is not applicable
BIRTH DETAILS
Birth type: Caesar / Natural No. of weeks: Birth weight:
Complications: Breastfeeding period:

ALLERGIES & INTOLERANCES (If yes, please tick and give details)
Is your child allergic to? (✓) Details Is your child allergic to? (✓) Details
Analgesics (specify) Nuts
Antibiotics (specify) Penicillin
Bee stings Pork
Fish Wheat
Lactose Other (specify)
Please tick if your child has/had any of the conditions listed below:
ADD / ADHD Dental conditions Hearing impairment Skin rashes
Asthma Diabetes Heart disease Stomach aches
Autism Diarrhoea Kidney disease Speech deficiency
Bladder infection Dyslexia Learning difficulty Rubella
Broken limbs Ear-aches Measles Scarlet fever
Bronchitis Eczema Mumps Surgery (specify)
Chicken pox Encephalitis Nosebleeds TB
Chronic medication Epilepsy Psychological therapy Tonsilitis
Colds & Flu Eye infections Physical disability Vomiting
Convulsions Eye sight problems Respiratory condition Whooping cough
Croup Headaches Ringworms Other (specify)
Are all your child’s vaccinations up to date?
MEDICAL HISTORY
Last dentist visit Date dd/mm/yyyy Reason
Last doctor visit Date dd/mm/yyyy Reason
Last Visual Screening Date dd/mm/yyyy Outcome
Last Hearing Screening Date dd/mm/yyyy Outcome
Does your child wear/require corrective shoes?
Has your child had any serious accidents? Explain

DOCTOR’S DETAILS
Doctor’s Name: Telephone No.:
Physical Address:

MEDICAL AID DETAILS (that the child is on)


Scheme Name: Membership number:
Scheme Plan: Principal member:

INITIAL: 3 Initials:
5359 North Carolina Crescent
Cosmo City Ext.5
Cell: 083-785-5328 / 083-516-2682
Email: [email protected]
Web: www.eclahpreschool.co.za

DEVELOPMENT & MILESTONES


Please do not leave any section blank. Write “N/A” if it is not applicable.
LANGUAGE DEVELOPMENT
At what age did your child start talking?
What languages does your child speak?
Does your child speak in full sentences OR one word responses OR no words?
Does your child stutter/stammer?
EMOTIONAL DEVELOPMENT
Does your child have temper tantrums?
Does your child have separation anxiety?
Who disciplines the child?
What forms of discipline do you use?
How does he/she respond to discipline?
SOCIAL DEVELOPMENT
Who does your child play with most of the time?
How does he/she play with others?
PHYSICAL DEVELOPMENT
At what age did your child start sitting unsupported?
At what age did your child start crawling?
At what age did your child start walking?
TOILET ROUTINE YES NO
Does your child go to the toilet voluntarily or does he/she need to be told to go?
Can your child pull up & down his/her pants to use the toilet?
Does your child wear a nappy when he/she sleeps?
Does your child wet the bed?
FEEDING YES NO
Can your child feed him/herself?
What utensils does your child use to eat? E.g. knife & fork; spoon; hands; etc.
Is your child a fussy eater?
SLEEP ROUTINE YES NO
Does your child nap during the day?
What time does he/she sleep every night?
Does he/she sleep through the night?
Does your child use a pacifier or any comfort item to fall asleep? (if yes, specify)
EXTRA-MURAL ACTIVITIES YES NO
Did your child participate in extra-mural activities at his/her previous school?
If yes, specify / If no, why not?
LEISURE ACTIVITIES No. of hours LEISURE ACTIVITIES No. of hours
Tablet / Computer / TV games Playing outside
Colouring books / Puzzles / Building blocks Watching TV
Playing with friends / siblings / relatives Reading or Being read to

INITIAL: 4 Initials:
5359 North Carolina Crescent
Cosmo City Ext.5
Cell: 083-785-5328 / 083-516-2682
Email: [email protected]
Web: www.eclahpreschool.co.za

PROSPECTUS
1. REGISTRATION
1.1 Registration is renewed annually at a fee and is non-refundable.
1.2 The registration renewal fee for the year 2026 is due by 1 December 2025.
1.3 Should a learner be withdrawn from the school for any reason whatsoever, the full registration fee will be
required again when he/she returns.
2. SCHOOL FEES PAYMENT POLICY
2.1 School fees are subject to an annual increase on the 1st of January.
2.2 The school fees for the year 2025 are R22 000 excluding uniform and registration. This amount can be
paid in full or in instalments. Instalments can be paid monthly over 11 months or quarterly or half-yearly.
2.3 Discounts only apply to the school fees, not the registration fee nor the uniform nor events.
2.4 School fees are payable in advance, and are due on or before the 1st of the month.
2.5 The first payment covers the fees; registration fee and; uniform. Please select a payment plan below:
Please (ü) below PAYMENT PLAN AMOUNT DUE
FULL One payment (incl. annual fees, registration, uniform, 5% discount)
R 23 450
PAYMENT Payment due by 1st January 2025

HALF-YEARLY First payment (incl. first half fees, registration, uniform, 2,5% discount) R 13 275
INSTALMENTS Second payment due 1st July 2025 R 10 725

QUARTERLY First payment (incl. first quarter fees, registration, uniform, 1,25% discount) R 7 981
INSTALMENTS Second, third and fourth payments due 1st April; 1st July; 1st Oct 2025 R 5 431

11 MONTHLY First payment (incl. first month’s fees, registration, uniform) R 4 550
INSTALMENTS Second to last payments due monthly from 1st Feb to 1st Nov 2025 R 2 000

2.6 Fees are payable in full every month, irrespective of absenteeism; school holidays; or starting date.
2.7 Payments made after the 4th of the month are subject to a non-refundable and non-transferable R100
per day penalty, until the school fees are paid in full.
2.8 ECLAH Pre-school reserves the right to refuse admission of the learner, should any part of the fees
remain outstanding by the due date.
2.9 All monies (e.g. School fees; uniform; school trips; photos; events, etc.) paid to the school; stationary
items; and toiletries items are non-refundable and non-transferrable.
3. PAYMENT METHODS
3.1 Please select the payment method you will be using below and add the applicable levy when paying:
Bank: First National Bank ü Method Method of Payment Levy
Account Holder: ECLAH Pre-School Internet transfer (EFT) nil
Account Number: 505 200 477 43 Cellphone banking nil
Branch Name: Clearwater Mall Stop Order nil
Branch code: 251 141 Cash Deposit at ATM R20
Beneficiary Reference: E3 + Child’s NAME + SURNAME Cash Deposit at tellers R100
3.2 The following methods of payment are NOT acceptable:
Cash at the school; Cheques; Digital wallets / Mobile money
4. WRITTEN NOTICE
4.1 The school must be notified in writing one calendar month in advance (e.g. inform the school by 31st
March that 30 April is the learner’s last day) when removing a learner from the school.
4.2 Failure to give the required notice will result in being held liable for one month’s or one term’s fees.
5. ECLAH PRE-SCHOOL EVENTS
5.1 Payments for events are not included in the school fees nor registration fee. They are charged separately.
5.2 The school events fee is compulsory for all learners and non-refundable.
6. EXTRA-MURAL ACTIVITIES
6.1 Extra-mural activities come at an extra cost and payment must be made directly to the service provider.
6.2 ECLAH Pre-school serves as a platform for extra-mural activities and cannot be held liable for the services.
INITIAL: 5 Initials:
5359 North Carolina Crescent
Cosmo City Ext.5
Cell: 083-785-5328 / 083-516-2682
Email: [email protected]
Web: www.eclahpreschool.co.za

7. OPERATING DAYS AND HOURS


7.1 ECLAH Pre-School operates strictly from Monday to Friday, from 6:30am to 5:30pm, except on the last day
of school at the end of the academic year, on which the operating hours are 06:30am to 12:00pm.
7.2 Learners must be at school between 6:30am and 08:00am daily and must be picked up before 5:30pm
daily.
7.3 Absenteeism or late coming can be reported to the school via a WhatsApp message.
7.4 Failure to fetch a learner by 5:30pm will result in a penalty of R100 per 15min interval e.g. R100 between
5:31pm and 5:45pm; R200 between 5:46pm and 6:00pm; etc.
7.5 The parents are liable for the payment of after-hours penalties regardless of who the learner is supposed to
be collected by. Please always check that your child has been picked up from school.
7.6 In case of a crisis e.g. protest action preventing staff from coming to work, or natural disasters e.g.
flooding, or the property is unsuitable for occupation e.g. due to fire, burglary, etc., the school will be
closed for the duration of the crisis.
8. ECLAH PRE-SCHOOL HOLIDAYS
8.1 ECLAH Pre-school is closed on all public holidays.
8.2 ECLAH Pre-school will close for YEAR-END break on 5th December 2025 and the re-open date for the
year 2026 is yet to be confirmed.
9. ECLAH PRE-SCHOOL UNIFORM
9.1 The ECLAH Pre-school uniform is compulsory for ALL learners and must be worn to pre-school
EVERYDAY.
9.2 Only ECLAH Pre-School uniform items purchased directly from ECLAH Pre-school may be worn to
school. ECLAH Pre-School T-shirts and Fleece tops must be worn with the ECLAH Pre-School
Tracksuit or BLUE DENIM skirts / shorts / trousers.
9.3 Shoe-laced shoes and high-heeled shoes are not permitted at school nor during school outings.
9.4 Every uniform item, underwear, shoes, bags, clothing, extra-mural gear, and container must be clearly
labelled with the learner’s name and surname.
9.5 Learners are not permitted to wear the school uniform of other schools when attending ECLAH Pre-school.
9.6 ECLAH Pre-School uniform can only be purchased from ECLAH Pre-school branches.
9.7 If a learner takes an item home from school that does not belong to him or her, please return it to school.
9.8 ECLAH Pre-school will not be held responsible for the loss, damage, or theft of your child’s uniform items,
shoes, underwear, bags, clothing items, extra-mural gear, or container.
9.9 Uniform will not be exchanged if it is used, written on, labelled, washed, or dirty. Uniform can only be
returned or exchanged within 30 days of collection if it is in its original condition and packaging.
10. GRADUATION POLICY
Only registered ECLAH Pre-school learners who have been attending at a ECLAH Pre-school branch for 9
months or more; born before 30 June 2020; and deemed ready to graduate by the ECLAH Pre-school
principal, may be eligible to graduate at the end of 2025.
11. PROGRESS REPORTS
Progress reports are issued at least twice a year and can be with-held if there are any outstanding monies
due to the school.
12. TOILET-TRAINING
12.1 When a learner turns 2 years old, the school will begin toilet-training. Parent cooperation is vital to ensure
that the process is successful. The aim is for learners to be fully trained to use the toilet independently, by
the age of 3 years old.
12.2 Learners that are 36 months old and older will not be accepted if they are not fully toilet-trained, except if
there are medical reasons confirmed by a valid doctor’s letter.
13. ILLNESS POLICY
13.1 Learners that are sick (whether or not it is contagious) are not permitted to attend pre-school until they
have completed their medical treatment and have fully recovered.
13.2 All learners with contagious conditions e.g. colds; flu; pink-eye; ringworms; mumps; measles; chicken-pox;
head lice; body lice; scabies; etc. are not permitted to attend preschool until they have completed their
course of treatment and are clear of all symptoms.
13.3 Learners that have had diarrhoea or vomiting within a 24hr period are not permitted to attend pre-school.
13.4 Medicines will not be accepted nor administered at school except for asthma pumps and anaphylaxis shots
(with written instructions of how to use them).

INITIAL: 6 Initials:
5359 North Carolina Crescent
Cosmo City Ext.5
Cell: 083-785-5328 / 083-516-2682
Email: [email protected]
Web: www.eclahpreschool.co.za

14. INJURY POLICY


14.1 If a learner gets hurt or sick at school, an incident report will be completed and the person who fetches the
learner will be informed.
14.2 The parent/guardian/person who fetches the learner must sign the incident report to confirm that they were
informed of the incident.
14.3 If the injury requires immediate medical attention, the parent will be required to collect the learner and seek
medical attention. The school nor its staff cannot transport learners to medical services.
14.4 Whilst the learner awaits the parent’s arrival, they will be placed in the sickbay until the parents arrive.
However, they will be checked on and monitored regularly.
14.5 In case of a medical emergency, the school may call for an ambulance at the cost of the injured learner’s
parents.
14.6 The parent agrees that in an emergency requiring medical attention or hospitalization, the parent accepts
responsibility for and agrees to bear all medical costs and expenses in relation to the Parent’s child under
these circumstances.
14.7 In a case where one learner has hurt another, the parent of the injured learner is not permitted to contact,
scold, discipline, reprimand or threaten the other learner involved, nor address his/her parents.
14.8 If the incident in question requires external professional or specialist council, the parent/s of the learners
involved will be notified in writing, and they will receive a written referral to a professional for counselling
and assessment. If the counselling or assessments require payment, each parent has to pay towards their
own child’s counselling/assessment. ECLAH Pre-school will NOT be liable for any costs.
14.9 Please save the school’s contact numbers and keep the school updated when changing your
contact details by sending an email or WhatsApp message directly to the school. Verbal updates
will not be accepted.
15. HIV POLICY & BODY FLUIDS POLICY
15.1 No learner will be discriminated against because of any illness or disability they may have. ECLAH Pre-
school does not require staff or learners to disclose their HIV status and any such disclosure will be treated
as confidential. Voluntary disclosure is however welcomed and could allow a learner or staff member to
benefit from additional support or nutritional and medical input.
15.2 In line with universal precautions, all blood and other body fluids are treated as infected, therefore
disposable gloves are worn at all times when handling all body fluid spills and soiled items.
15.3 Hands are washed with water and soap before and after wearing gloves, and the gloves are disposed of.
15.4 Areas where there has been a spill of body fluids are cordoned off, cleaned and disinfected immediately.
15.5 The child’s blood-stained or soiled items will be rinsed and placed in a plastic bag for a thorough wash at
home.
15.6 The tools used to clean areas and items are also washed and disinfected.
16. HYGIENE POLICY
16.1 The daily sanitizing of hands upon arrival is required for all and, the disinfecting of learner’s containers.
16.2 Learners and staff are required to wash hands with soap and water before meals, after activities and, after
using the toilet. Hands are dried with disposable paper towels.
16.3 The premises, furniture, and equipment are cleaned and disinfected daily.
16.4 Mattress covers are washed weekly, mattresses are disinfected daily, and blankets are washed quarterly.
17. DISCIPLINE POLICY
17.1 Corporal punishment (i.e. physical harm or threat thereof) is strictly forbidden and if an incident occurs it
must be reported to the school in writing immediately.
17.2 Learners are taught about acceptable behaviour and the school rules through games and songs.
17.3 If learners misbehave they are spoken to firmly, separated from others (if need be) and may privileges are
withheld for a set amount of time
17.4 Parents are required to address their child’s repetitive aggressive behaviour so as to keep the school safe.
18. SAFETY & SECURITY
18.1 Upon arrival, children will be received by an ECLAH Pre-school staff member at the school entrance and
will be signed in by the staff member. At departure time, the learner will be escorted to the school entrance
by an ECLAH Pre-school staff member and signed out by that staff member.
18.2 Please notify the school if someone that is not mentioned in the “Safety & Security” table (page 2) will be
collecting your child on a particular day.

INITIAL: 7 Initials:
5359 North Carolina Crescent
Cosmo City Ext.5
Cell: 083-785-5328 / 083-516-2682
Email: [email protected]
Web: www.eclahpreschool.co.za

19. PARENTS’ MEETINGS


19.1 Parents are welcome to request a one-on-one meeting with the principal.
19.2 Group meetings are scheduled by the school only when necessary.
20. CODE OF CONDUCT BETWEEN PARENTS AND STAFF
20.1 Parents are not permitted to employ any member of ECLAH staff, for any job whatsoever, nor to buy and
sell products and services, during or outside the school’s operating hours.
20.2 All complaints, compliments, queries about the school, policies, programs and/or staff members must be
addressed with management in writing, not verbally, not on public platforms, and not with staff.
20.3 ECLAH Pre-school encourages a healthy relationship between management, staff and parents based on
mutual respect and appreciation; promoting the best interests of the learner.
20.4 Verbal abuse, gossiping; yelling; badmouthing the school and its staff; physical assault or the threat
thereof; and the use of profanity, by any of the parties, are strictly forbidden.
21. EXPULSION
The school shall notify the parent in writing of any breach, and the parents shall have 7 days to remedy.
Shall the breach not be remedied within 7 days, the school shall have the right to expel the learner
effective immediately at the expiry of the 7 day period to remedy the breach. Breaches such as:
21.1.1 Parents’ failure to adhere to the school fees payment policy
21.1.2 Parents’ repeated failure to adhere to the school’s operating hours e.g. fetching a child after
5:30pm and not paying the penalty.
21.1.3 Parents’ being verbally and/or physically abusive to or threatening staff members
21.1.4 Parents refusing to take a learner, suspected of having a behavioural problem, for professional
assessment
21.1.5 Parents refusing to take a child to the doctor when ill or refusing to treat the child effectively
22. INDEMNITY
The parties recognise and acknowledge the impetuous and impulsive nature of children. In view of this,
staff and management at the school have been instructed to take every precaution to the best of their
ability to ensure the children’s safety. However, neither staff, management or any other persons connected
to ECLAH Pre-school will accept any liability for any claims arising from any accident, injury, death, loss,
theft suffered by the child, at school or on school trips (including transportation to and from such trips), due
to criminal acts or acts of negligence by outsiders or incidents that fall outside their responsibilities and
duties while acting with due diligence and care and in the course and scope of their duties. Furthermore,
the Parent agrees to waive and abandon any claims, which may, at any time, arise as aforesaid, both in
the Parent’s personal capacity, and in the Parent’s capacity as a parent or as guardian of the child, and the
Parent expressly indemnifies the management and staff or connected person(s) against any claim which
may arise or be instituted unless criminal negligence is proven against such member of staff, management
or connected person in a court of law.
23. LIABILITY
Should the school instruct its attorneys and/or institute legal proceedings against the applicant (i.e. parent
or guardian), as a result of the applicants’ breach of contract or failure to adhere to the prospectus, rules
and regulations, then, the applicant will be held liable for all the legal costs; attorney and client charges;
tracing fees; and collection commission incurred by the school.
24. PHOTOGRAPHY
ECLAH Pre-school often uses photographs of the children in its marketing and promotional material, website,
and social media platforms. I _____________________________________ hereby give permission for the
photographs of my child/ren specifically taken for marketing or promotional purposes or taken incidentally at
ECLAH Pre-school events and premises, to be used (appropriately and professionally) by the school.

I/We, .................................................................................................................................................., parent/s

or guardian/s of ........................................................................................................., have read, understood


and accept the prospectus written above and agree to comply with it and the school regulations.

Father’s Signature: ......................................................................... Date: .......................................................

Mother’s Signature: ......................................................................... Date: .......................................................

INITIAL: 8 Initials:

You might also like