Enrolment Application Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Attach Photo Here * Click or drag a file to this area to upload. LayoutWe would love to know how you heard about us *Date of Application: *Please TICK all your choices: (where applicableLayoutPre-Prep SchoolPlay groupPP1PP2PP3Prep SchoolYr 1Yr 2Yr 3Yr 4Yr 5Yr 6Additional ServicesExtra CurriculumTransportFull Days 8:30am – 3:20pmN.B. PLAY GROUP is half days (8:30am –1:20pm) Name *FirstMiddleLastDate of Birth *Current physical Address: (print in detail: Road, Estate, Apt, Hse no.,etc.) *(Please print & attach a location pin) *Language(s) Spoken at Home *FAMILY INFORMATIONLayoutFather/Guardian Name *FirstLastEmployer: *Current Address: *Cell Phone: *Work Phone: *Email Address: *Mother/Guardian Name *FirstLastEmployer: *Current Address: *Cell Phone: *Work Phone: *Email Address: *Child Lives with: *Both ParentsMotherFatherOther(please name) *Parent’s Marital Status: *MarriedDivorcedOtherPlease elaborate: *Correspondence: *Both ParentsMotherFatherOther(please name) *Please list the names and ages of siblings: *PICK UP INFORMATIONMy child may be picked up by Pick Up Person #1: LayoutPhoneRelationship to Child: Pick Up Person #2: Layout Phone Relationship to Child: Pick Up Person #3: Layout (copy)Phone Relationship to Child: Kindly attach copy of ID/Passport and a recent photo of authorized persons. * Click or drag files to this area to upload. You can upload up to 2 files. CURRENT MEDICAL INFORMATIONIs the Child Insured? *YESNOPlease give details: *LayoutName of Child’s Physician: *Telephone Number: *Physician’s Address: *My child has allergies: *YESNONot KnownPlease list allergies: *Please comment on any condition(s) that your child has that require(s) medical attention – such as diabetes, epilepsy, asthma, etc. *CURRENT MEDICAL INFORMATION CONT’DLayoutPhysical activity restrictions *Your child’s previous history of communicable diseases: (e.g.: Chicken Pox, Measles) *Hearing or vision problems that cannot be corrected *Other conditions that may require a teacher to take action for the benefit of your child’s health *EMERGENCY CONTACTS(In the event of an emergency) Contact Person #1 Name *LayoutPhone *Relationship to Child: *Address: *Contact Person #2 Name *Layout (copy)Phone *Relationship to Child: *Address: *PERMISSION FOR MEDICAL TREATMENTIn the event of an accident or illness involving my child, while my child is in the care of Sina Learning Centre Ltd., I hereby authorize the administration, of any medical procedure deemed necessary, by the above-named Doctor, or by any hospital Emergency Department, or by any other qualified physician. In no case will Sina Learning Centre Ltd or its staff be liable for costs incurred and procedures undertaken, as a result. YOUR CHILD’S PROFILE (to help us know your child)Has your child had any previous school, playgroup or nursery experience? If so, where and how often? *List any organized activities that your child has participated in – such as swimming lessons, library groups, etc.: *What are your child’s interests? *Is your child toilet-trained? *YESNOIn ProgressCan your child manage their washroom routine independent of an adult? *YESNOCan your child verbally communicate his/her needs effectively? *YESNOHas your child ever been hospitalized? *YESNOForDoes your child have any Learning Difficulties? *YESNOPlease explain: *Other information you wish us to know: PAYMENT POLICYImportant Information about school fees: Full payments of ALL fees are required before or on the first day of the A child may be denied to attend classes, if this is the case. Tuition Fees: cover all tuition and work ALL Fees: are non-refundable. There may be additional charges for trips and activities outside of the standard school education programme. Parents/Guardians will be notified of these by separate letter from the Head Teacher or relevant Head of Extra-Curricular Fees: Activities once chosen, may not be cancelled, and payment in full must be Special Needs: Children with learning difficulties will pay 50% extra to the normal school fees, and if a shadow teacher is required to be with the child, then an additional fee will be Caution Deposit: is paid as a reservation fee and refundable once the student leaves Sina. Appropriate notice and clearance by the Head Teacher is mandatory. If there are losses or breakages, or any other payments done by the school for a student, the caution deposit must be topped up Discount: A 5% discount is offered on the tuition if fees are prepaid in full for the whole school Family Discounts: This applies to tuition fees only, and for the third and subsequent children The discount is applied to the tuition of the youngest child at a rate of 5% per sibling. Late Payment after the commencement of the first day of each term, will incur and additional fee of Ksh. 7,000/= and a surcharge of 2% per month after the first 14 days. If at any time payments are late, the parent/guardian will be required to leave a full term’s tuition fees as an additional security deposit with the school. This is refundable.* No remission is made in cases of illness, quarantine, leave for part of the term for any cause Parents/Guardians who withdraw their child for leave or any reason during the term are liable for a full term’s fees. Withdrawal /Cancellation Notice: A full term’s notice in writing and the Head Teacher’s acknowledgement in writing of the same is required for withdrawals. A full term’s fees are payable in lieu of such All payments should be made after receiving an invoice from the school accounts * No cash payments will be received by the All fees must be paid via the school account and/or M-Pesa paybill. Cheques: the school will only accept bankers Special arrangements must be made with the school management for any parent/guardian wishing to pay with normal cheques. There will be a late pick-up fee of 00 after 4.00 p.m. and Ksh. 500.00 for every 15 minutes thereafter. Transport: Details of routes and fees may be obtained from the Transport maybe provided by the Transport Fees is non-refundable. Additional Costs -The school Uniform, stationery, extra-curricular activities and equipment are not offered by the All fees maybe revised by the school as the need may Revisions will be communicated to the parent/guardian by the school management. Detailed Fees and costs may be obtained from the CONSENTBy Filling and signing this application form, I/We: I/we would like to enrol our child at Sina Learning Centre Ltd. in the program indicated on this application. As parent(s)/guardian(s), we consent to the collection, use and disclosure of personal information in respect of and on behalf of myself/ourselves and my/our child, which may be collected, used and disclosed as necessary for the purposes of providing education and other services, student records and administrative purposes related to Sina Learning Centre Ltd. and as otherwise required by law. As parent(s)/guardian(s), acknowledge that I/we have read and understood all the terms and conditions, and I/we agree to abide by them. Name of Parent/Guardian *FirstLastSubmit
