Registration Form

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Please not that all fields with * need to be filled in.

Date of registration:*
Child's Name:*
Child's Birth Date:*
Father's Name:*
Fathers E-mail:*
Father's Phone:*
Occupation of Father:*
Mother's Name:*
Mother's Work Tel:*
Occupation of Mother:*
Has your child previously attended a playgroup/preschool ?:*
Name of Playgroup/ Pre-school:
Does your child have any special needs we should be aware of?:*
Is your child in any form of therapy? If so, please give details.:*
Therapy Details:*
Have you visited the school? If not, please contact Julia Gorham school to set up an appointment ( or ( 083 600 6833):
Date you wish your child to start:*
How did you hear about the Field and Study Montessori Pre-School?:*

Non refundable deposit R1800.00 and siblings R1500.00

Banking details:

Nedbank Northrand
Branch code: 146-905
Account no: 1469 043378
Please fax or email proof of payment.


Please note that this form works best in Google Chrome, Firefox, Opera, Safari

Word Verification: