SBD Re-registration Form 2023

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Parent/Guardian Details

Parent/Guardian 1
Parent/Guardian 2
(select the appropriate box)

Social Information

SCHOOL FEES CONTRACT FOR SBD

Rules regarding School Fees – 2023

CONTRACT BETWEEN RANDBURG CLINIC SCHOOL AND PARENT/GUARDIAN REGARDING SCHOOL FEES FOR THE YEAR OF 2023

1. The school fee is R750.00 per month

2. Exemption of school fees will only be considered on completion of the school exemption forms.

in my capacity as parent/guardian hereby agree to pay the monthly school fee on or before the 7th of each month, for the understated learner. I acknowledge that making payment on time is an essential part of the agreement. I also acknowledge that it is my responsibility to apply for school fee exemption should the need arise. I give permission, should I apply for exemption for the necessary checks to be done into my financial situation for the exemption process to be objective and fair.

DETAILS OF PERSON RESPONSIBLE FOR SETTLEMENT OF ACCOUNT

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INDEMINITY FORM

School & Hostel

hereby give consent for my child to participate in all sport, cultural and school activities as well as to participate in school excursions.

I accept that all reasonable precautions will be taken for the safety and well-being of my child and will not hold the GDE Officials (Johannesburg North), Educators or Representative responsible for any injury or death resulting from any of these activities. I accept I will be responsible for paying any medical and/or hospital accounts where applicable.

Should medical/surgical treatment be required for my child, I cede my powers as parent/guardian to the GDE Officials (Johannesburg North), Educators or Representative, in my absence as parent/guardian. As far as I know, my child is in good health.
I do, however, request the responsible persons note the following:
(any particulars in connection with child’s health and/or activities/sport he/she may not participate in.) Information required in case of medical/hospital treatment (allergies, asthma, chronic illness, etc.):

MEDICAL INFORMATION

Father home telephone
Mother home telephone
Guardian home telephone
Father work telephone
Mother work telephone
Guardian work telephone
Father cellphone
Mother cellphone
Guardian cellphone

NB!! Should you not be on Medical Aid, or fail to furnish the particulars, your child will be admitted to the nearest state Hospital – Charlotte Maxeke Hospital or Randburg Clinic.

Name and address of person who we can be contact if you are not reachable:
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CHRONIC AND ACUTE MEDICATION

For the School to adhere to all Health regulations according to administration of any Chronic or Acute Medication, we need all parents to adhere to the following instructions when sending any Chronic or Acute medication to school/hostel.

1. All medication must be sent in its original containers.
2. All medication must be clearly marked with:
– Medicine Name and strength: etc. Ritalin LA 30mg
– Childs Name and Surname: etc. James Mafokeng
– Dosage that must be taken: etc. 30mg or 15ml
– Times/Frequency that Dosages must be taken: etc. At 6h00, 14h00 and 18h00 or 3 times a day.

These precautions are taken to ensure that your child receives the correct medication as well as correct dosages, at the correct times. It is also needed for the nurse on duty to monitor the expiry dates and batch number on the medication container for the safety and health of your child.

Additionally, it is also important to send a new copy of the prescription when any medication changes, dosages changes or administration time changes. Also, a new copy of the prescription is to be provided every 6 months.

Please note: If the child returns to school with medication that does not adhere to the Health Regulation stipulated, the child would be sent back home.

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THERAPY CONSENT FORM

hereby give consent for for Randburg Clinic School Support staff to provide therapeutic services for my child.
These services include but may not be limited to:
• Occupational Therapy
• Speech Therapy
• Counselling
These services are offered at the discretion of the professional, with each child’s best interest in mind.

Should you have any questions please contact the Department Head of Therapy, Ms. Denise Yagan.

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HOSTEL ADMISSION FORM

Rules regarding Hostel Fees – 2023

CONTRACT BETWEEN THE SCHOOL AND PARENT/GUARDIAN REGARDING HOSTEL FEES – 2023

1. Hostel fees must be paid in advance in ten instalments before the 7th of each month.
2. Hostel fees are R1650.00 p/m for 10 months
3. Learners are to be dropped off on Monday mornings before 7:45 and collected on Friday afternoons before 16:00.
4. It is the parent/guardian’s responsibility to ensure the learners’ belongings are in line with the rules and regulations set out by the hostel
5. Any and all contraband found on the learner will be confiscated. Should the parent/guardian wish, they are able to collect confiscated items from the hostel, by appointment only.

in my capacity as parent/guardian hereby request for hostel admission for the understated learner. I agree and will adhere to the above mentioned terms. I acknowledge that making payment on time is an essential part of the agreement. I also acknowledge that there are no exemptions for hostel fees.

DETAILS OF PERSON RESPONSIBLE FOR SETTLEMENT OF ACCOUNT
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Documents
Please submit the following documents: