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Application Form 2025 1

The Camelton Learner’s Enrolment Form for 2024 requires completion by a parent or guardian, along with a non-refundable application fee of N$50. The form collects essential student, medical, and guardian information, and outlines obligations regarding fees and school policies. It emphasizes the importance of written notice for withdrawals and parental involvement in school activities.

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15 views

Application Form 2025 1

The Camelton Learner’s Enrolment Form for 2024 requires completion by a parent or guardian, along with a non-refundable application fee of N$50. The form collects essential student, medical, and guardian information, and outlines obligations regarding fees and school policies. It emphasizes the importance of written notice for withdrawals and parental involvement in school activities.

Uploaded by

witness
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
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Camelton Learner’s Enrolment Form 2024

11 Pasteur Street Windhoek West


Contacts: 061220666/061220665/061220607
P. O. Box 27765, Windhoek
Email: [email protected]
Photo

NB: This form must be completed by the parent or guardian and submitted to the school secretary,
accompanied by proof of payment of non- refundable application fee of N$50 paid through the bank or at the
office.

Grade Applied for: Year:

FOR OFFICE USE ONLY

Date application received: Assessment date:

Verification: Form completed

All Documents Attached:

Assessment Results: Mathematics English:

Registration fees paid: Date:

Accepted/Rejected: Class allocation:

Educational Contract: Parent Orientation:

Uploaded on the Management system:

Date:
Principal’s signature
Complete this Form fully and return with necessary documents attached.
STUDENT INFORMATION
Surname: Names:

Bate of Birth: Age: Gender: Year:

Home language: Other languages:

Citizenship:

Doctor’s name: Telephone:

MEDICAL INFORMATION

Allergies: Yes No

Physical Disability: Yes No

Hearing/Speech Impairment: Yes No

Chronic Diseases: Yes No

Any Diagnosed Syndrome: e.g Dyslexia, ADHD Yes No

If your answer is yes to any of the above, kindly give details and attach relevant reports.

Any other information you would like to share with the school:
PREVIOUS SCHOOL INFORMATION

Name of last School Attended: Grade completed:

City/Town: Telephone number:

FATHER/GUARDIAN INFORMATION

Surname: Name:

Title: ID/ Passport Number:

Street Address:

Postal Address:

Telephone (home): Work Cell:

Email Address:

Marital Status: Single Married Divorced Widowed

Employer: Designation:

Religion: Denomination

MOTHER/GUARDIAN INFORMATION

Surname: Name:

Title: ID/ Passport Number:

Street Address:

Postal Address:

Telephone (home): Work Cell:


Email Address:

Marital Status: Single Married Divorced Widowed

Employer: Designation:

Religion: Denomination

DETAILS OF PERSON RESPONSIBLE FOR FEES PAYMENT

Name: ID/Passport number

Telephone: Home Work: Cell:

Residential Address:

KINDLY PROVIDE US WITH 2 CREDIT/ACCOUNT REFERENCES

Company: Account No: Company’s contact No:

Company: Account No: Company’s contact No:

DECLARATION BY PARENTS OR GUARDIAN:

I of

(Home physical address) hereby declare that I fully understand


and accept the conditions set by Camelton Academy of Learning, and accept the responsibility for all the
financial obligations. I understand that failure to pay by the 3rd of every month for 12 calendar months including
holidays will automatically result in being handed over to debt collectors/lawyers. I also accept that no refunds
will be given to me on school fees paid upfront or my account will be credited if I fail to give one month written
notice prior to withdrawing my child.
INCASE OF EMERGENCY

Name and contact number of family member/friend to be contacted in emergencies when parents are
unavailable:

Name: Relationship:

Contact: Home Work: Cell:

I absolve the school should, if any accident befall my child while


at school, on sport field, during recreation or during any recognised school tour or activity. I am also aware
that I am responsible for medical costs that may arise from health, sickness or accident which may befall my
child while attending Camelton Academy of Learning.

VERY IMPORTANT

1. If I plan to withdraw my child/ren from the school, it is necessary to provide a written notice of at
least one month in advance. Failure to comply with this agreement will result in being held
responsible for additional charges for the final month.
2. Kindly note that registration and tuition fees are non-refundable.
3. As parents/guardians, we are obligated to sign both the school contract and an annual indemnity
form, allowing our child/ren to participate in school outings.
4. Active involvement in all fundraising activities organized by the school is mandatory for all parents.
Your participation contributes to the betterment of our students' education and overall experience.
5. It is important to stay updated with school notices and announcements through regular checking of
your child's school diaries or the school's official communication channels.
6. We appreciate your support and understanding in ensuring a successful and fulfilling educational
journey for your child/ren.

I hereby confirm that I understood the above mentioned and declare that the information that I have provided is correct.

Signed at Windhoek this day of 20

Father/ Guardian: Mother/ Guardian:

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