Contract Agreement - Check the box below if you, the Guardian(s), have read, understood and agree to the Terms and Conditions of the School Admissions Contract.
—Please choose an option—I/We Agree

Learner's First Name

Learner's Last Name

Learner's Preferred Name

Learner's Date of Birth

Learner's Nationality

Learner's ID or Passport Number

Learner's Race
—Please choose an option—AfricanAsianColouredIndianWhiteOther

Learner's Gender
—Please choose an option—BoyGirl

Report Card - Please upload the learner's most recent School Report:

ID, Passport or Birth Certificate - Please upload the learner's ID, Passport or Birth Certificate:

Photo - Please upload a photo of the learner:

If you have not uploaded a learner report. Please provide a reason why you are not able to do so.*

Learner's Home Address

What grade is the learner in?
—Please choose an option—Grade RRGrade RGrade 1Grade 2Grade 3Grade 4Grade 5Grade 6Grade 7

What grade is the learner going to in 2024?
—Please choose an option—Grade RRGrade RGrade 1Grade 2Grade 3Grade 4Grade 5Grade 6Grade 7

Is the learner a student at Thari-Imbeleko Christian School?
—Please choose an option—YesNo

What school is the student currently attending?

Provide any additional information about the learner (Optional)

Learner's Home Language

Learner's First Additional Language

Enrollment Year
—Please choose an option—2024

Guardian 1 First Name

Guardian 1 Last Name

Guardian 1 Relationship to Learner
—Please choose an option—MotherFatherBrotherSisterUncleAuntGrandmotherGrandfatherFoster MotherFoster FatherStepmotherStepfatherOther

Guardian 1 ID/Passport Number

Guardian 1 Phone number

Guardian 1 Email Address

Guardian 2 First Name (Optional)

Guardian 2 Last Name (Optional)

Guardian 2 Relationship to Learner (Optional)
—Please choose an option—MotherFatherBrotherSisterUncleAuntGrandmotherGrandfatherFoster MotherFoster FatherStepmotherStepfatherOther

Guardian 2 ID/Passport Number (Optional)

Guardian 2 Phone number (Optional)

Guardian 2 Email Address (Optional)

Who does the learner live with?
—Please choose an option—Guardian 1Guardian 2Both GuardiansOther

Who should the school communicate with?
—Please choose an option—Guardian 1Guardian 2Both Guardians

Who is responsible for settling school fees?
—Please choose an option—Guardian 1Guardian 2Both GuardiansOther

How many children/learners do the guardians look after? (Optional)

Do the guardians have any other learners already attending Thari-Imbeleko Christian School? (Optional)
—Please choose an option—YesNoNot sure

Media Permission - Do you as the guardians give consent for the learner and guardians' name, photograph and schoolwork to be used in publicity media, while reserving the right to request for such media to be removed.
—Please choose an option—YesNo

Confirmation - We, the Guardians, confirm that all the information provided in and submitted in relation to this application form is accurate and complete to the best of our knowledge. We acknowledge that Thari-Imbeleko Christian School reserves right of admission, subject to the Terms and Conditions outlined in the School Admissions Contract.
—Please choose an option—Agree