Kids Kingdom
Pre Primary School
2 Beverley Brive, Hatton Estate, Pinetown, 3610
Tel. 031 701 2441   Cell 082 806 6354

 APPLICATION FORM

Child's Name_______________________ Surname____________________________

Sex of Child________________________ Date of Birth_________________________

Home Address_________________________________________________________

                      _________________________________________________________

Health Condition _______________________________________________________

Father's Name______________________ Tel No. (H) _________________________

                   (W)______________________ (CELL)___________________________

Mother's Name_____________________ Tel No. (H)__________________________

                   (W)______________________ (CELL)___________________________

Home Language_____________________ How did you hear about Kids Kingdom?

_____________________________________________________________________

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A R600 non-refundable registration fee is payable when this form is returned.