TEL: +27 13 790 0748
CEL: + 27 84 975 5252
EMAIL: horizonmalelane@gmail.com
www.horizonacademymalelane.com
Pre school - 34 Station Street
Malelane 1320
Primary and High School - Portion 9
Malelane 389
P O Box 536 Malelane 1320
APPLICATION FORM FOR ADMISSION
NOTE: This Application for Admission will only be processed if ALL fields are completed legibly, are signed by the concerned and ALL required supporting documents are attached. Application submitted doesn’t mean the admission of a learner.
1. PERSONAL DETAILS OF THE LEARNER
2. EDUCATIONAL DETAILS OF THE LEARNER
3. MEDICAL DETAILS
OF THE LEARNER
CONSENT IN THE CASE OF ANY MEDICAL EMERGENCY
1. DETAILS OF FATHER / LEGAL GUARDIAN
2. DETAILS OF MOTHER / LEGAL GUARDIAN
3. DETAILS OF AN EMERGENCY CONTACT
4. DECLARATION OF PARENTS / GUARDIANS
1. CONDITIONS OF ENROLMENT OF PUPILS AT HORIZON ACADEMY
1.1.1
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It is recorded that fees are determined in the month of December for the next academic year
and that the Parent / Legal Guardian is informed of the result in the beginning of January .
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1.1.2
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The Parent / Legal Guardian shall immediately inform the School if he/she has not received
new fees structure at the start of the academic year.
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1.1.3
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Fees for 12 (twelve) months are payable in advance by means of debit order on or before the
7th of each calendar month or annually in advance no later than by 15th February, depending
on the fee payment option selected by the parent or guardian from the fee structure
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1.1.4
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All the cash payment at the school counter /cash deposit at the bank shall be charged a deposit
fee of 2% where as electronic transfer and ATM deposit is exempted.
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1.1.5
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The School reserves the right to charge interest of 10% (ten percent) on all accounts that are
in arrears by 60 (sixty) days or longer.
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1.1.6
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Payment of monthly fees is not subject to presentation of a statement. Payments are made in
accordance with the applicable fee structure of the School.
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1.2 Breach of Contract
The Agreement constitutes the whole Agreement between the parties relating to the subject matter hereof.
In the event where the undersigned commits a breach of contract of any of the terms of this Agreement, the
School has its sole discretion to:
- Claim damages from the parent and / legal guardian; or
- Deny the learner entry to the School’s premises and withhold any documents to be issued until
the breach has been remedied; or
- Take adequate legal measures , which ever deemed fit
1.3 Jurisdiction
This Agreement shall be constructed and interpreted in accordance with the laws of Republic of South Africa
1.4 Domicilium
The parties choose as their domicilia citandi et executandi the addresses mentioned in the Application.
1.5 Legal Fees
The undersigned will be liable for all legal fees on an attorney client scale, collection costs and commission, interest and tracing fees in case of any legal action taken against the parent and/legal guardian.
1.6 Cancellation
In case of the termination of the enrolment of the learner by the school authority for any violation of the school rules ,indiscipline etc,a pro rata proportion of any fees already paid in advance will be refunded.
Thirty calender days written notice of termination of the Enrolment of a learner shall be given by the applicant ,failing which the applicant be liable to the School for the full amount of the following term’s fees
_____________________________________________________
Signature of father / guardian
______________________________________
Date
1. |
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Horizon Academy, undertake to implement reasonable measures with regard to the safety and well
being of all learners, members of the Staff and visitors to the School, however due to the nature of
the matter, the School and the Board of Directors do not accept any responsibility for accidents that
may take place in the class, on the school campus or on the sports fields.
Due to the nature of the matter, each parent is requested to complete the following that you accept
the risk involved therewith . |
2. |
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I, ________________________________________________________________ , being the
parent / legal guardian of _____________________________________________________
who is enrolled as such and accepted by the School, subject to the terms set out herein, indemnity
and agree to hold harmless the directors of the school ,Principals and members of the staff or
their authorized agents or representatives ,against any and all claims, howsoever arising, including
negligence, but not gross negligence ,arising out of any injury, death, loss, damage, cost or expense,
including legal cost, suffered as a result of during the enrolment of the learners at the school. |
Signed at __________________________ on this _____ day of _________________ 20_________.
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As Witness:
1. _____________________________________________________
2. _____________________________________________________
______________________________________
Signature of Parent / Legal Guardian
3. PERMISSION TO USE PHOTOGRAPHS AND VIDEOS
Photographs and videos of learners are taken for many reasons and these materials are placed in the safe
control and custody of the school authority and these might be used by the school in the electronic and or
printed medias including website ,social media, news papers, magazines brochures, flyers, posters etc.
I acknowledge that the school ensures that these materials are interpret excellence and are used in good
discernment.
______________________________________
Signature of Parent / Legal Guardian
4. EXEMPTION OF CHRISTIAN STUDIES
I, understand and acknowledge that the school is based on christian principles. I hereby permit /do
not permit my child to part take in Christian Studies
______________________________________
Signature of Parent / Legal Guardian