Year of Commencement Year of Commencement201920202021

Month of Commencement Month of CommencementJanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember

Age Group Required Age Group Required1 - 2 (Born Jan - July 2017)2 - 3 (Born 2016)3 - 4 (Born 2015)4 - 5 (Born 2014)

Age Group Required Age Group Required1 - 2 (Born Jan - July 2018)2 - 3 (Born 2017)3 - 4 (Born 2016)4 - 5 (Born 2015)

Age Group Required Age Group Required1 - 2 (Born Jan - July 2019)2 - 3 (Born 2018)3 - 4 (Born 2017)4 - 5 (Born 2016)

Full Name of Applicant

Gender Gender Male Female

Preferred Name (if applicable)

Date of Birth

Residential Address

Postal Code

Postal Address

Postal Code

Home Language

Second Language (if applicable)

Country of Birth

Nationality

Religion

Special Needs

Father's Name

Mother's Name

Postal Address

Postal Address

Postal Code

Postal Code

Email Address

Email Address

Home Tel

Home Tel

Cell

Cell

Work Tel

Work Tel

Occupation

Occupation

Marital Status Marital Status Married Widowed Single Divorced

Name of Person Responsible for Account

Postal Address (if not above)

Number of days child will be attending Number of days child will be attending 1 2 3 4 5

Which Days Which Days Monday Tuesday Wednesday Thursday Friday

Do you require Aftercare Do you require Aftercare Yes No Maybe Occassionally

How many aftercare days

Until what time Until what time 14:30 17:00

Has your child previously attended another daycare or preschool Has your child previously attended another daycare or preschool Yes No

Name of School

Tel

Reason for Leaving

Both parents of the Applicant expressly acknowledge and accept that the Principal retains an unfettered and exclusive discretion in regard to the decision whether to grant or refuse this application. The Principal may refuse the application without furnishing reasons for such refusal. Both parents of the Applicant expressly acknowledge and accept that the Principal retains an unfettered and exclusive discretion in regard to the decision whether to grant or refuse this application. The Principal may refuse the application without furnishing reasons for such refusal. Agree

• Your child’s place is only secured once a non-refundable acceptance fee has been paid. Due only when we have notified you and offered your child a place. Notice must be given by the 1st December of the year prior to your child starting school, failing which a term’s fees are payable in lieu of notice. If the place is given up, the Acceptance Fee can be carried forward to the following or subsequent years but does not guarantee a place in the following or subsequent years. • Your child’s place is only secured once a non-refundable acceptance fee has been paid. Due only when we have notified you and offered your child a place. Notice must be given by the 1st December of the year prior to your child starting school, failing which a term’s fees are payable in lieu of notice. If the place is given up, the Acceptance Fee can be carried forward to the following or subsequent years but does not guarantee a place in the following or subsequent years. Agree

• One clear term’s notice is required for withdrawal of a child from the school, failing which a term’s fees will become payable in lieu of notice. • One clear term’s notice is required for withdrawal of a child from the school, failing which a term’s fees will become payable in lieu of notice. Agree

• The undersigned, hereby give consent for Little Heroes to conduct credit checks. • The undersigned, hereby give consent for Little Heroes to conduct credit checks. Agree

By checking agree and clicking submit you confirm that you have read and agree to the above Terms and Conditiopns By checking agree and clicking submit you confirm that you have read and agree to the above Terms and Conditiopns Agree Disagree