STEP 2 • SECURE ADMISSION

Complete Secure Admission Form

Please complete the form after your initial enquiry. This form collects admission information for Luvuyo Childcare Centre. Please do not upload sensitive identity or immunisation documents here; bring the required copies to the centre.

POPIA & privacy: By submitting this form, you acknowledge that Luvuyo Childcare Centre will process the personal information provided for admission administration, communication, safeguarding and related lawful centre purposes, subject to applicable privacy requirements.

Do not fill this out if you are human:

Parent/Guardian 1

Full Name & Surname ID Number Relationship to Child Contact Number Email Address Residential Address Employment Status Employer/Company Name Occupation/Job Title Work Telephone Number Work Address

Parent/Guardian 2 (if applicable)

Full Name & Surname ID Number Relationship to Child Contact Number Email Address Residential Address Employment Status Employer/Company Name Occupation/Job Title Work Telephone Number Work Address

Child Information

Child's Full Name & Surname Child's ID / Birth Certificate Number (if applicable) Date of Birth Gender Residential Address Previous ECD Centre / School Preferred Start Date

SASSA Grant

Is the child currently receiving a SASSA grant? If Yes, Grant Type SASSA Grant Number (if applicable)

Emergency Contact

Full Name & Surname Relationship to Child Contact Number Alternative Contact Number Emergency Contact Address

Admission Requirements Checklist

I will provide a clear copy of page 27 of the child's immunisation card. I will provide a clear copy of the child's birth certificate. I will provide a clear copy of the parent/guardian's ID. I confirm that the child's immunisations are up to date.

Consent & Declaration

I confirm that the information provided is accurate and complete. I consent to Luvuyo Childcare Centre using this information to process the child's admission and contact me about the application. I understand that this form contains personal information and should only be submitted by an authorised parent/guardian.

Documents: Please bring the required document copies to the centre rather than uploading ID or immunisation documents online: page 27 of the immunisation card, child's birth certificate and parent/guardian ID.