Brooklyn Montessori Pre-school and Primary

Details of New or Returning Learner

Please make a selection if applicable
Please make a selection if applicable

Identification Particulars of Child

Will be indicated on the child's birth certificate

Identification Particulars of Parent/Guardian

Father's Details

RSA Identification number or Passport Number

Identification Particulars of Parent/Guardian

Mother's Details

RSA Identification number or Passport Number

Who will be responsible for school fees

If other please complete the following

RSA Identification number or Passport Number

School Fees

I agree to pay school fees as set out in the 2019 Pre-school/Primary School Rules and Regulations document


Indemnity

hereby give permission for him/her to participate in the Curricular and Co-Curricular activities of Brooklyn Montessori School and to go on excursions that are necessary for the course of such activities.

I accept that all reasonable precautions will be taken to ensure the safety of my child and that I shall be held responsible for the payment of medical and/or hospital accounts, where applicable, should any injury or loss be sustained by my child. I specifically indemnify and hold Brooklyn Montessori School and its staff harmless against any claims whatsoever nature arising out of any injury, damage or loss sustained in pursuance of aforesaid participation.

I cede my power as parent/guardian to the staff of BMS or their representatives, who will act in loco parentis should medical treatment /surgery to my child be deemed necessary. As far as I know, my child is physically capable of participating in the various activities and he/she is in good health. I understand that my child will be taken to the nearest private medical facility in an ambulance. However, the person responsible should please note the following (please state medical aspects that the staff should be aware of, for example, allergies, the tendency towards abnormal bleeding, epilepsy, etc)

I’ve read and understood the content of the Rules and Regulations of Brooklyn Montessori