This registration form collects information about a child seeking enrollment including their name, date of birth, home address, contact details, and preferred attendance schedule. It also requests emergency contact information and authorization for other approved individuals to pick up the child. The form must be signed by a parent and requires submission of additional documents including a medical form and signed terms and conditions to complete the registration process.

1. REGISTRATION FORM
Family Name/Surname of Child………………………………………
Childs First Names.………………………………………………………………………………...
Date of Birth………………………………. Boy Girl
Home Address …………………………………….. ………………………………………………
Residence Telephone No………………………………. Mobile No………………………………
Main E-Mail For Correspondence………………………………………………………………….
______________________________________________________________________________
Select Days Required Per Week:
Sunday Monday Tuesday Wednesday Thursday
Select Timings per day:
08.00am – 6.00pm 09.00am – 2.00pm Early Preschool
Other: (Please state)
______________________________________________________________________________
Parents Information:
Fathers Name……………………………………………………………………………………….
Work Telephone No………………………… Mobile Telephone No……………..……….
Mothers Name………………………………………………………………………………………
Work Telephone No…………………………… Mobile Telephone No………………………
Emergency Contact Information: (If parents are not contactable)
Name………………………………………………………………………………………………..
Address……………………………………………………………………………………………..
Mobile Telephone Number…………………………………………………………………………
Home Telephone Number…………………………………………………………………………..
Relationship to child………………………………………………………………………………..
______________________________________________________________________________

2. Authorization for someone else to collect your child;
Name: Relationship to Child: Phone No:
……………………….. ……………………………………… ………………………
……………………….. ……………………………………… ………………………
Apart from thechild’s parents, your child will only be allowed home with a person from theauthorized list above.
The authorized persons above must be over 18years of age and may be asked to provide ID card upon collection of the child.
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How did you hear about Zaras? ……………………………………………….
We request that our above named child be registered as a pupil at Zara’s:
Parents Name……………………………………………………………………………………….
Parents Signature……………………………………………………………Date…………………
CHECKLIST: (Documents required to complete registration)
Completed Registration
Completed Medical Form
Signed Parents Terms & Conditions Form
Signed Photography Release Form
Official Use Only:
Date Starting: Class Starting: Date Paid: Form of Payment: Receipt No: