PARKTOWN BOYS’ HIGH SCHOOL REGISTRATION NUMBER: 909086JE DISTRICT: D9 APPLICATION FOR ENROLMENT ARISE Telephone: 011 642-4531/2 Fax: 011 642-9212 Website: www.parktownboys.com Wellington Road Parktown Private Bag X15 Parkview 2122 MISSION STATEMENT: To be an outstanding boys’ school, educating for life through the development of character and potential. CORE VALUES: We believe in: l l l l l l l l Commitment to the school’s ethos of excellence and quality Honesty, integrity and gentlemanly conduct Tolerance and empathy, trust and respect Self-discipline, initiative and enterprise Leadership and team spirit Full participation Personal and social achievement Free communication These are the collective principles that guide the thoughts and actions of the Parktown Boys’ High School team. The motto of Parktown Boys’ High School, “ARISE”, inspires the tradition, values and spirit of the learners, parents and staff of the Parktonian family. With the above in mind I hereby make application for the learner listed below to attend Parktown Boys’ High School. PLEASE NOTE THAT INCOMPLETE APPLICATIONS CANNOT BE PROCESSED. LEARNER INFORMATION: SURNAME: FIRST NAME: YEAR OF ENROLMENT: BOARDING Yes ENROLMENT TO GRADE: No If “Yes” kindly complete attached boarding application form. DATE OF BIRTH: (Certified copy of birth certificate to be attached) I.D. NUMBER: HOME LANGUAGE: RELIGION (Not compulsory): MEDICAL AID DETAILS: MEDICAL AID NAME: MEDICAL AID NUMBER: MAIN MEMBER OF MEDICAL AID: NAME AND TELEPHONE NUMBER OF FAMILY DOCTOR: LEARNER RESIDES WITH: BOTH PARENTS MOTHER FATHER GUARDIAN NAMES OF BROTHERS CURRENTLY OR PREVIOUSLY ENROLLED AT PARKTOWN: NUMBER OF SIBLINGS IN FAMILY: Page 1 ACADEMIC INFORMATION: GRADE 8 AND 9: CHOOSE EITHER AFRIKAANS OR ZULU AS A SECOND LANGUAGE: GRADE 10 - 12: CHOOSE BETWEEN AFRIKAANS OR ZULU AS A SECOND LANGUAGE. CHOOSE BETWEEN MATHEMATICS OR MATHEMATICAL LITERACY. CHOOSE AN ADDITIONAL THREE SUBJECTS FOR YOUR OPTIONAL SUBJECTS (PLEASE REFER TO GENERAL INFORMATION ATTACHED). ENGLISH AFRIKAANS or ZULU LIFE ORIENTATION MATHEMATICS or MATHEMATICAL LITERACY ACCOUNTANCY PHYSICAL SCIENCE GEOGRAPHY INFORMATION TECHNOLOGY BUSINESS STUDIES LIFE SCIENCE HISTORY ADVANCED PROGRAMMED MATHEMATICS DESIGN ART - DESIGN COMPUTER APPLICATION TECHNOLOGY 3 ART - VISUAL 3 GENERAL INFORMATION: HEALTH ISSUES OF WHICH WE SHOULD BE AWARE: PREVIOUS SCHOOL ATTENDED: TELEPHONE NO.: SPORT AND/OR CULTURAL ACHIEVEMENTS: OTHER ACHIEVEMENTS: LEADERSHIP POSITIONS: IF IMMIGRANT: COUNTRY OF ORIGIN AND DATE OF ARRIVAL IN SOUTH AFRICA: (RELEVANT HOME AFFAIRS DOCUMENTS MUST BE ATTACHED) FAMILY AND PARENTS’ INFORMATION: NATURAL FATHER Mr Dr Prof SURNAME: I.D. NUMBER: FIRST NAMES: RESIDENTIAL ADDRESS: WORK ADDRESS: POSTAL ADDRESS: OCCUPATION: JOB TITLE: EMPLOYER: YEARS WITH CURRENT EMPLOYER: TELEPHONE NO. (WORK): TELEPHONE NO. (HOME): CELL: NATURAL MOTHER E-MAIL: Ms Miss Mrs Dr Prof SURNAME: I.D. NUMBER: FIRST NAMES: RESIDENTIAL ADDRESS: WORK ADDRESS: POSTAL ADDRESS: OCCUPATION: JOB TITLE: EMPLOYER: YEARS WITH CURRENT EMPLOYER: TELEPHONE NO. (WORK): CELL: E-MAIL: TELEPHONE NO. (HOME): Page 2 ANY OTHER PARENT / GUARDIAN (PLEASE SPECIFY) SURNAME: I.D. NUMBER: FIRST NAMES: RESIDENTIAL ADDRESS: WORK ADDRESS: POSTAL ADDRESS: OCCUPATION: JOB TITLE: EMPLOYER: YEARS WITH CURRENT EMPLOYER: TELEPHONE NO. (WORK): CELL: TELEPHONE NO. (HOME): E-MAIL: PAYMENT OF FEES PLEASE NOTE: IN ACCORDANCE WITH SECTIONS 39 AND 40 OF THE SOUTH AFRICAN SCHOOLS ACT OF 1996, PARKTOWN BOYS’ IS A FEE PAYING SCHOOL AND FEES ARE COMPULSORY. PLEASE INDICATE YOUR CHOICE OF PAYMENT METHOD BY TICKING THE APPROPRIATE BLOCK. PAY IN FULL BEFORE 31 DECEMBER OF THE YEAR PRIOR TO INTAKE (DISCOUNTED AMOUNT) PAY MONTHLY BY DEBIT ORDER OVER TEN MONTHS (BEGINNING JANUARY THROUGH TO BEGINNING OF OCTOBER) BANKING DETAILS FOR DIRECT DEPOSITS: SCHOOL FEES:BOARDING FEES: Parktown Boys’ High School Parktonian Foundation First National BankNedbank Branch: ParktownBranch: Business Central Branch Code: 250455Branch Code: 128405 Account Number: 62327887256 Account Number: 128 403 5220 I HEREBY ACKNOWLEDGE THAT ALL THE ABOVE INFORMATION IS CORRECT AND I UNDERTAKE TO PAY SHOOL FEES AS INDICATED ABOVE. SIGNATURE: NAME: Page 3 REASONS FOR WISHING TO ATTEND PARKTOWN BOYS’ HIGH SCHOOL: (TO BE COMPLETED IN LEARNER’S OWN WORDS AND HANDWRITING) TO BE COMPLETED BY THE LEGAL GUARDIAN: I, 1. Hereby give permission for to participate in the normal academic, sporting and cultural activities of the school. I accept that no claim can be made against the school for injuries or articles of clothing and equipment that may be lost or damaged. 2. I undertake to make all necessary transport arrangements for school and extra-mural participation. 3. I will support the school policy with regard to compulsory attendance at school and extra-mural activities, including weekends, and will not ask for permission to extend vacations or make doctor’s, dentist’s or driving licence appointments during normal school hours. 4. I accept that if this application is successful it will be in terms of the general conditions governing admissions and the school’s code of conduct. SIGNATURE OF PARENT/GUARDIAN: NAME: FOR OFFICIAL USE ONLY: WAIT LIST NUMBER: STATUS OF ADMISSION: APPROVED / NOT APPROVED REASON IF NOT APPROVED: SIGNATURE: DATE: REPORT INCLUDED: YES / NO BIRTH CERTIFICATE INCLUDED: YES / NO IDENTITY PHOTOGRAPH INCLUDED: YES / NO Page 4 DRUCE HALL BOARDING ESTABLISHMENT Parktown Boys’ High School Wellington Road Parktown 2193 (011) 484 6618 [email protected] Application and Agreement for Admission to Druce Hall Boarding Establishment A. Application is made for admission to Druce Hall as follows: 1. The Parties to this application are: 1.1____________________________________________________________(“Parent/Legal Guardian”); With identity number ____________________________and contact number___________________ (A copy of the Parent/Legal Guardian’s Identity Document must accompany the Application Form) 1.2 of _____________________________(“Learner’) with identity number ______________________________ his preferred name being ___________________________; and 1.3 Druce Hall (“Druce Hall”) a private Boarding Establishment. 2. Application is made by the Parent/Legal Guardian for the Learner to be admitted to Druce Hall from the beginning of Term ___________of 20_______in Grade ________ until completion of his matric year unless residence is terminated in terms of this application. 3. Within 14 (fourteen) days upon acceptance of this application, a special levy of R1500.00 (one thousand five hundred rand) is payable into the following bank account: Name : The Parktonian Foundation Hostel Bank : Nedbank Account Number : 1284035220 Branch Code : 128405 Account Type : Current Reference : surname/grade B. Upon acceptance of the application, the Parties agree to the terms and conditions as incorporated as follows: 4. The Parent/Legal Guardian must pay Hostel fees as determined by the Hostel, which must be up-to-date on the 1st day of each term when the Learner commences residence in Druce Hall for that specific term. 5. The special levy payable per clause 3 and the Hostel fees payable per clause 4 exclude the cost of outings and events, medical expenses and/or other services offered by Druce Hall or the School to the Learner. 6. Should there be a financial inability to pay the Hostel fees, the Parent/Legal Guardian will without delay notify the Hostel of same in order to agree to an alternative arrangement, if any. The same notification must be provided to the Hostel upon the Parent/Legal Guardian applying for sequestration or debt review. 7. Should the Parent/Legal Guardian fail to make payment of the Hostel fees on the due date/s as agreed, the Hostel shall demand payment of the outstanding amount. Should it receive the outstanding amount within 7 (seven) days after demanding payment, it will allow the Learner to remain at Druce Hall failing which the residence of the Learner will terminate with immediate effect. 8. The Parent/Legal Guardian give the Hostel permission to request credit/criminal checks, from an authorised/registered body on his/her behalf. 9. The Parent/Legal Guardian may terminate the Learner’s residence on 1 (one) calendar months’ notice. S/he will be entitled to a refund of the Hostel fees paid for the period extending beyond the termination date. 10.If no notice of termination is provided per clause 9 and the Learner is removed from residence, the Parent/Legal Guardian shall be liable for 1 (one) month’s payment of Hostel fees in lieu of a deemed notice of termination. 11.While the Learner is in residence, control and discipline of the Learner will be exercised in accordance with the School’s policies and procedures. Druce Hall agrees to protect the Learner and act in his best interests. 12.The Parent/Legal Guardian allows the School and/or Druce Hall to consent on his/her behalf to any emergency operation or medical treatment required by the Learner, without prior consent being obtained from the Parent/Legal Guardian. 13.The Learner’s medical aid details are: Medical Aid : __________________________________________ Medical Aid number : __________________________________________ Doctor’s name : __________________________________________ Doctor’s contact number : __________________________________________ 14.An alternative or next of kin name and contact number is: ________________________________________________________________________ 15.All legal documents, notices or other communications must be delivered to the following address of the Parent/Guardian, which will act as its domicilium citandi et executandi: 16.All legal documents, notices or other communications must be delivered to the following address, for the attention of Druce Hall, which will act at its domicilium citandi et executandi: Parktown Boys’ High School, Wellington Ave, Parktown 17.Non-legal documents, notices or other communication between the Parties may be by electronic communication where a “read receipt” must be attached to each electronic communication sent so it can be determined that the electronic communication was received and read by the other Party. 18.The School and Druce Hall are indemnified against loss or damage caused to the Learner resulting from their fault (negligence or intent) during the Learner’s time of residence. 19.This agreement constitutes the whole agreement between the Parties and it may only be amended if the Parties agree to the amendment in writing, sign it and attach it as an Annexure. 20.This application is additional to any other application/agreement entered into by the Parent/Legal Guardian and the School and/or Druce Hall. 21.No Party shall be bound by any express or implied term, representation, warranty, promise, or the like not recorded in this agreement. 22.Signed at ____________________on______day of_____________________20_____ __________________________________________ Parent/Legal GuardianWitness Contact Details of Parent/Legal Guardian: Name of Parent/Legal Guardian: __________________________________________ Email address:__________________________________________ Mobile Number:__________________________________________ Landline Number:__________________________________________ Fax: 4461 Fax:086 086613 613 4461 Website: Website:www.parktownboys.com www.parktownboys.com ARISE (To be completed by the Principal of the learner’s present school and returned to Parktown Boys’ High School by the the parent parent // guardian.) guardian.) ARISE PARKTOWN BOYS’ HIGH SCHOOL Dear Parents/Guardian Thank you for your application. Please take note of the following instructions and information: PROCEDURE TO BE FOLLOWED WHEN COMPLETING ENROLMENT DOCUMENT 1. Application forms which are incomplete or which are submitted without ALL required supporting documentation will not be considered for enrolment. 2. Please attach to the Enrolment Application: • Oneidentityphotograph • Acopy of the latest school report • Acopyofhisbirthcertificate • Wherepossiblepleasealsorequestatestimonialfromcurrent school attended (Testimonial document attached) • Acopyofbothparents’/guardians’I.D.documents • ProofofResidence(Utility/Ratesbill) • ProofofEmployment 3. EachapplicantwillbeallocatedapositiononeitherWaitlistAorB dependantonSchoolGoverningBodyandGautengDepartmentof Education criteria. 4. Youwillbeadvisedinwritingastowhetheryourchild’sapplicationhasbeen successful or not. 5. Onreceivingnotificationofprovisionalacceptance,anon-refundable depositofR5500.00mustbemadetotheschoolbursar.Thisdeposit includesanamountofR3500.00whichwillbedeductedfromtheschool fees the following year. 6. Onthefirstdayofschool,thelearnermustproducehistransfercardand most recent school report. These must be handed to the form tutor. Our address and contact numbers: ParktownBoys’HighSchool WellingtonRoad Parktown 2193 Tel (011)642-4531/2 Fax (011)642-9212 Email: [email protected] PrivateBagX15 Parkview 2122 PARKTOWN BOYS’ HIGH SCHOOL FEES FOR 2015. 2014: Bankingdetails: Banking details: Schoolfees:R33950.00 Boardingfees:R45636.00 School fees: R36740.00 Boarding fees: R48950.00 ParktownBoys’HighSchool ParktonianFoundation Parkown Boys’ High School Parktonian Foundation FirstNationalBank Nedbank First National Bank Branch:Parktown Branch:BusinessCentral Branch: Parktown Branch: Business Central BranchCode:250455 BranchCode:128405 Branch Code: 250455 Branch Code: 128405 AccountNumber:62327887256 AccountNumber:1284035220 Account Number: 6232 7887 256 Account Number: 128 403 5220 Please use your son’s full name as a reference on all EFT and direct deposits. Website: www.parktownboys.com Website: www.parktownboys.com Website: www.parktownboys.com Website: www.parktownboys.com Website: www.parktownboys.com ARISE • 5Science Scienceand andBiology Life Science laboratories Include laboratories, a Design and Technology Centre, a Media Centre, an Art • 2three Design and Technology Centre, Computer CentresCentres and an Indoor Multi-purpose Sports Centre. • Media Centre • Centre IncludeArt Science and Biology laboratories, a Design and Technology Centre, a Media Centre, an Art • 3 Computer Centres Centre, three Computer Centres and an Tennis, Indoor Multi-purpose Centre.Rugby, Shooting, Cricket, Rowing, Swimming, Waterpolo, Cross Country,Sports Golf, Hockey, • 20 fully interactive classrooms Soccer, Squash and Athletics. • 180-seater Audio-Visual room • 3 Glass-back squash courts Cricket, Rowing, Swimming, Waterpolo, Tennis, Cross Country, Golf, Hockey, Rugby, Shooting, • 2-lane indoor cricket centre Soccer, Squash and Athletics. • 2 fully-equipped gyms • Water-based Astro turf • Competition standard Water Polo pool Include Science and Biology laboratories, a Design and Technology Centre, a Media Centre, an Art Include Science and laboratories, a and Centre, a • Weekly boarding establishment Include Science and Biology Biology laboratories, a Design Design and Technology Technology Centre, a Media Media Centre, Centre, an an Art Art Centre, three Computer Centres and an Indoor Multi-purpose Sports Centre. Centre, three Computer Centres and an Indoor Multi-purpose Sports Centre. Centre, three Computer Centres and an Indoor Multi-purpose Sports Centre. Include Science and Biology laboratories, a Design and Technology Centre, a Media Centre, an Art Include Science and Biology laboratories, a Design and Technology Centre, a Media Centre, an Art Centre, three Computer Centres and an Indoor Multi-purpose Sports Centre. Centre, three Computer Centres and an Indoor Multi-purpose Sports Centre. Swimming, Waterpolo, Cricket, Rowing, Water Polo,Tennis, Tennis,Cross CrossCountry, Country,Golf, Golf,Hockey, Hockey,Rugby, Rugby,Shooting, Shooting, Cricket, Rowing, Swimming, Waterpolo, Tennis, Cross Country, Golf, Hockey, Rugby, Shooting, Cricket, Rowing, Swimming, Waterpolo, Tennis, Cross Country, Golf, Hockey, Rugby, Shooting, Soccer, Squash,and Athletics and Football. Soccer, Squash Athletics. Soccer, Soccer, Squash Squash and and Athletics. Athletics. Cricket, Rowing, Swimming, Waterpolo, Tennis, Cross Country, Golf, Hockey, Rugby, Shooting, Cricket, Rowing, Swimming, Waterpolo, Tennis, Cross Country, Golf, Hockey, Rugby, Shooting, Soccer, Squash and Athletics. Soccer, Squash and Athletics. Brass and Drum Corps, Chess, Choir, Drama, First Aid, Traditional Dancing, Heart of the Lion, Media Centre, Oratory, Photography, Stock Exchange Game, Philosophy Society, Scrabble and Art Club. ACADEMIC INFORMATION: Criteria: Grade 10 to 12. At least one of the following three subjects must be selected: Geography, Life Science or Physical Science. IMMIGRANTS: All immigrants must be in possession of a Study Permit and the annual school fee is payable in advance. GOVERNING BODY: Elected every three years, comprising Parents, Teachers and Learner Representatives. In terms of the legislation for public schools, it is responsible for staff appointments, maintenance and development of grounds and buildings, admission requirements, the setting of fees, budgets, control of finance, and liaison with the Headmaster, the District Office and Governing Body Foundation of South Africa, and policy development. PTO BOARDING ESTABLISHMENT: Onoccasion,sportsmenmayapplyforpermissiontospendFridayeveninginDruceHallto Boardingfeesaretobepaidmonthly,inadvance,totheParktonianFoundation(separateaccount). THE SCHOOL SHOP: Uniformandbook-listswillbesuppliedpriortoadmission.Allschoolrequirementsareobtainable fromourschoolshop.whichissituatedattheschool.Theshopisopenduringschoolhoursaswell will be supplied Uniformprior and book-lists to admission. willAll be school supplied requirements prior to admission. are obtainable All school requirements are obtainable asextendedhoursovertheDecembervacationperiod.Theproprietorscanbecontactedon will be supplied Uniformprior and book-lists to admission. willAll be school supplied requirements prior to admission. are obtainable All school requirements are obtainable 011484-2420orthroughtheschoolswitchboard. will supplied Uniform prior and book-lists to will All beschool school supplied requirements prior to admission. are obtainable All school requirements are obtainable h thebeschool 011 switchboard. 484-2420 oradmission. through the switchboard. MENTOR PROGRAMME: h the school 011 switchboard. 484-2420 or through the school switchboard. EverylearnerformspartofaMentorGroupcomprisingarangeofage-groupswhichisfacilitated byaneducator.Theymeetonaweeklybasistodiscussandexchangelifeskills. h the school 011 switchboard. 484-2420 or through the school switchboard. ACADEMIC HOURS: Monday Tuesday Wednesday Thursday Friday 07h45 - 15h00 07h45 - 15h00 07h45 - 13h30 07h45 - 15h00 07h45 - 15h00 PARKTOWN BOYS’ HIGH SCHOOL MEDIA PERMISSION FORM Dear Parent/Guardian, During the school year, photographs will be taken of the pupils as they participate in various events. These photographs may be accessed by the staff for inclusion in various media, including newspapers , magazines , and electronic media such as web page, Facebook and Twitter, in as well as various presentations to parents and other interested parties. The photographs may be of groups of pupils or individuals, and the pupil’s names may be used. For pupil protection online, a pupil’s photograph and last name will not appear together on the school webpage. It is only when photographs are sent to the newspaper that pupils’ full names will appear. Please select one option: I give permission for my child/children’s photograph to be published or used in marketing material. or I DO NOT wish my child/children’s photograph to be published or used in marketing material. Please note that from time to time, photographs of the whole school/large groups/ teams may be used (for example, sports team photographs). We cannot exclude specific pupils from these group photographs. _______________________________________ _______________________________ Child’s/Children’s NamesGrade 2015 _____________________________________ ________________________________ Parent’s/Guardian’s NameParent’s/Guardian’s Signature _ ____________________________________ Date PARKTOWN BOYS’ HIGH SCHOOL Annexure A SOUTH AFRICAN SCHOOLS ACT, NO 84 OF 1996 REGULATIONS FOR THE EXEMPTION OF PARENTS FROM PAYMENT OF SCHOOL FEES CHECK LIST FORM (Mark with a cross in applicable box) 1. Has the principal informed you about the amount of the annual School fees to be paid? YESNO 2. Has the principal informed you that you are liable for the payment of school fees unless you are totally exempted from paying school fees. YES NO 3. Has the principal informed you about your right to apply for Exemption from paying school fees? YES NO 4. Do you wish to apply for such an exemption? YES NO 5. Do you wish to be assisted in making such application? YES NO 6. Has the principal provided you with the form (Annexure B) YES NO for application for exemption? _________________________ Name of parent _________________________ Signature of parent _________________________ Date
© Copyright 2024