Aftercare Enrolment

Child's Surname: *
Child's First Name: *
Current Grade: *
Staff Child: Yes No

Contact names and numbers:
Mother's Name Cell Work Home
Father's Cell Work Home
Alternative contact person Cell Work Home
       

Child’s medical conditions / allergies of which we should be aware:

To be completed by parent / guardian responsible for payment:

I the undersigned, undertake to pay the prescribed fees for HeronBridge Aftercare and hereby instruct the College to debit my account with three monthly payments per term. I undertake to advise the College at the end of each term should I wish to cancel this arrangement, failing which, it will continue for the whole year
My Child will attend Aftercare on a regular basis: *
Half Day to 14h30
Full Day to 17h30
My child will attend Aftercare on an Ad Hoc basis
Parent / Guardian’s Full name:
   

 

CONTACT NUMBERS FOR HERONBRIDGE COLLEGE

Main telephone: 011 540 4800    |   Admissions: 079 508 7436   |   Fax: 011 388 1948   |   Accounts: 079 697 2565
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