Digital Registration Form

STUDENT DETAILS

Grade:

Surname:

First Name:

Other Names:

Date of Birth:

Age:

Gender:

MaleFemale

Email Address:

Cell Number:

Last grade passed:

Year Completed:

School/Institution:

Country:

PARENT/GUARDIAN DETAILS

Surname of Parent:

Initials:

Home Address:

Postal Code:

Parent Email Address:

Parent Cell Number:

PLEASE TICK THE PROGRAM YOU ARE ENROLLING FOR

1) Grade 11 & 12 NBT - 8 sessions (16 hours) R 1 9502) Grade 11 Zoom classes on Sat (3:30 - 5:30) - 4 sessions (8 hours) R 1 2003) Grade 12 Zoom classes on Sun (3:30 - 5:30) - 4 sessions (8 hours) R 1 2004) Grade 11 & 12 Zoom classes on Sat & Sun - 8 sessions (16 hours) R 1 9505) NBT (8 sessions) + Gr11 classes on Sat (4 sessions) (24 hours) R 2 9506) NBT (8 sessions) + Gr 11 &12 classes on Sat & Sun (8 sessions) (32 hours) R 3 5007) Grade 7, 8, 9, 10, 11 or 12 daily online video lessons for 6 months R 6008) Grade 7, 8, 9, 10, 11 or 12 daily online video lessons for 1 month R 120 **

** The monthly rate of R 120 is only during the lockdown period thereafter R 250 per month