Application Form – The Learning Centre School

TLCS Student Admission Application

This application is for enrollment as: *

Pre-School *

K3
K4

Reception *

Reception

Will your child be 3 years old by January 1 of the year of entry? *

Yes
No

Per TLCS Admissions requirements, a K3 child must be age 3 by the year of admission. (i.e. if applying for 2021, the child must be 3 years of age by December 30, 2020.)

Will your child be 4 years old by January 1 of the year of entry? *

Yes
No

Per TLCS Admissions requirements, a K4 child must be age 4 by the year of admission. (i.e. if applying for 2021, the child must be 4 years of age by December 30, 2020.)

Will your child be 5 years old by the end of term 1? *

Yes
No

Per TLCS Admissions and Botswana government requirements, a reception child must be age 5 before or during the 1st term. (i.e. if applying for 2021, the child must be 5 years of age by the end of March 2021.)

Lower Primary *

Standard 1
Standard 2
Standard 3

Upper Primary *

Standard 4
Standard 5
Standard 6
Standard 7

Secondary *

Year *

Year (copy) *

2022
2023
2024
2025

Term *

Term 1
Term 2
Term 3

Student Information

Student Name *

First

Last

Date of Birth *

Nationality *

Current School (if applicable)

Current School Contact Number (if applicable)

Current Standard/ Grade

Number of Siblings at TLCS (if applicable)

Attach Birth Certificate/Health Records

Click or drag a file to this area to upload.

Attach Copy of Psychological Exam

Click or drag a file to this area to upload.

Must be within 6 months of application. To include: Medical report with diagnosis (definition of the nature and cause of the child’s disability or condition.) *This information will be treated as highly confidential and will be for office use only.

Attach previous school reports *

Click or drag a file to this area to upload.

Copy of Current Residence Permit

Click or drag a file to this area to upload.

Current Passport Sized Photo of Student *

Click or drag a file to this area to upload.

Note: Application and Registration fees are non-refundable/non-transferable. Refund on paid fees will be processed upon written notice of withdrawal. There will be no refund of fees paid for the current term in the event the student withdraws during the term. Application does not guarantee a place in the school. Acceptance will be determined in accordance with the school’s admissions policies.

I have read, understand, and agree with the above Terms.

Parent or Guardian Electronic Signature *

This serves as an electronic signature in agreement with the above Terms and Conditions.

Parent or Guardian Electronic Signature

This serves as an electronic signature in agreement with the above Terms and Conditions.

Additional Student Information

Student's preferred name *

Blood type

Religious affiliation (if any)

Primary Family Information

Primary Family Address *

Address Line 1

City

State / Province / Region

Phone of Parent or Guardian *

Phone of Parent or Guardian (additional)

Parent or Guardian Information

Name *

First

Last

Preferred name (if different than above)

Relationship *

Emergency Contact
Allowed to pick up Child

Please tick the boxes that apply.

Phone *

Additional Phone (if applicable)

Email *

Company Name

Job title

Business phone

Business phone 2 (if applicable)

Business Email

Religious Affiliation (if applicable)

Parent or Guardian information

Name

First

Last

Preferred name (if different than above)

Relationship

Emergency Contact
Allowed to pick up Child

Please tick the boxes that apply.

Phone

Additional Phone (if applicable)

Email

Company Name

Job Title

Business phone

Business phone 2 (if applicable)

Business Email

Religious Affiliation (if applicable)

Secondary Family Information (if applicable)

Is there Secondary family information for this student?

Yes
No

Secondary Family Address

Address Line 1

City

State / Province / Region

Family Phone

Family Phone 2

Parent or Guardian Information

Name

First

Last

Preferred name (if different than above)

Relationship

Emergency Contact
Allowed to pick up Child

Please tick the boxes that apply.

Phone

Additional Phone (if applicable)

Email

Company Name

Job Title

Business phone

Business phone 2 (if applicable)

Business Email

Religious Affiliation (if applicable)

Is there any other parent or guardians to add?

Yes
No

Parent or Guardian Information

Name

First

Last

Preferred name (if different than above)

Relationship

Emergency Contact
Allowed to pick up Child

Please tick the boxes that apply.

Phone

Additional Phone (if applicable)

Company Name

Job Title

Business phone

Business phone 2 (if applicable)

Business Email

Religious Affiliation (if applicable)

Emergency Contact(s)

Emergency contacts other than parent or guardian. Please list in order of contact preference

Primary Emergency Contact Name *

First

Last

Relationship *

Emergency Contact
Allowed to pick up Child

Please tick the boxes that apply.

Phone *

Phone 2

Alternate Emergency Contact

First

Last

Relationship

Emergency Contact
Allowed to pick up Child

Please tick the boxes that apply.

Phone

Phone 2

To add additional contacts beyond these three options, please contact the admin office via email.

Medical Contact Information

Physician Name *

Physician Office Phone *

Dentist Name

Dentist Office Phone

Preferred Hospital

Medical Aid Insurance

Medical Aid Number

Pick Up Information

People besides parents or guardians listed above authorized to pick up children from school.

Name

Relationship

ID #

Notes: (if applicable)

Name

Relationship

ID #

Notes: (if applicable)

Agreement

I have read the TLCS Student Handbook and submit myself to it and to the administration of TLCS. I agree to support the staff in word and deed. I hereby pledge to pay my financial obligations to the school when they are due. I understand they are due before the first day of the term. I understand that any unpaid fees after that date will be deemed unpaid fees and will incur a late payment fee of P500. I understand that all fees must be paid in full before the student enters classes for the term. I agree to uphold and support the high academic standard of the school by providing a place at home for my child to study and giving my child encouragement in the completion of homework, assignments, and projects. Also, I will be a part of every conference requested with me. I give permission for my child to take part in all school activities, including school-sponsored trips away from school premises under the supervision of school staff. I also give my permission for any transportation of my child that is necessary for such trips. I will make a sincere effort to attend all school functions or activities to which parents or families are invited. I appreciate the standards of the school and do not tolerate disrespect to God, the Bible, leadership authority or personnel of the school. I hereby agree to support all regulations of the school in the student’s behalf and authorize this school to employ discipline as it deems wise and expedient for the training of my child. I give the school complete and unrestricted permission to search any personal item my child brings on campus. Any items found in such searches can be used in disciplinary proceedings. I understand that the school reserves the right to dismiss any child who fails to comply with the established regulations and discipline or whose financial obligations remain unpaid. I agree that in case of illness or accident requiring a doctor’s immediate attention and I and my emergency contacts cannot be reached, the physician I list may be called and is authorized to treat my child at my expense. If the doctor listed cannot be reached, I give permission for a doctor designated by TLCS to administer treatment at my expense. I release TLCS from liability for any illness resulting under all circumstances. I release TLCS and its staff and representatives from any liability in the event of an accident or injury that occurs on school premises or on any school-sponsored activity away from the campus. I hereby authorize the school to give consent for any and all necessary emergency medical care for my child, in the event I cannot be reached to make such arrangements. I agree that the principal and/or school chaplain shall be the sole remedy for any controversy or claim arising. As a result, I expressly waive my right to file a lawsuit in any court, while my child is enrolled and after he/she is withdrawn, concerning any aspect of TLCS. I understand that falsifying any information on this application will result in the immediate cessation of its consideration, or in the immediate dismissal of my child after acceptance.

Do you understand and agree to the terms listed above? *

Yes, I understand and agree to the terms listed above.

Proof of payment – application fee *

Click or drag a file to this area to upload.

Parent or Guardian Electronic Signature *

This serves as an electronic signature in agreement with the above Terms and Conditions.

Parent or Guardian Electronic Signature *

This serves as an electronic signature in agreement with the above Terms and Conditions.

File Upload

Click or drag a file to this area to upload.

File Upload

Click or drag a file to this area to upload.

Address

Address Line 1

Address Line 2

City

State

Zip Code