Application Form

Please note that as of 1 Jan 2016, you will be required to include proof of payment of the registration fee when submitting the application form. This fee will be R100 and payment can be made to these banking details.

Child Information

Full Name of Child (required)

Date of Birth

Gender

FemaleMale

Parents Names (and Surnames)

Contact Information

Home Address

Please complete the table below with as much information as possible. Please note that we do require at least 1 contact.

Contact Name (1st)
Tel Number (1st)
Email (1st)

Contact Name (2nd)
Tel Number (2nd)
Email (2nd)

Contact Name (3rd)
Tel Number (3rd)
Email (3rd)

Contact Name (4th)
Tel Number (4th)
Email (4th)

Final Information

Religion

Have elder siblings attended St. Elizabeths?

Desired Date of Enrolment : Please ensure this is after 1 Jan 2015

Other Info

How did you hear about St. Elizabeths ?

By using the site and posting information through this form, you (the User) are acknowledging that this is a public site and while every attempt is made to ensure personal data is secure, St. Lizzies is not responsible for the data being submitted. By providing St. Lizzies with Personal Information, the User consents to St. Lizzies processing his/her Personal Information for the purpose of processing applications and in any other manner the User expressly consents to.