SAM Registration Form

Student Registration Form
Fill out the form carefully for registration
Student Name
First NameMiddle NameLast Name
Date of Birth
MonthDayYear
Grade
Gender
Primary School/Pre-school
Address
The student will be attending
The student will be attending classes in
Enrolling another student?
Guardian's details
Guardian Name
First NameLast Name
Relationship to student
Email
example@example.com
Mobile Number
Alternative number
Address
Same as aboveOther Address
S.A.M and S.A.E calendar and fees.
Courses are organized on a termly basis. Our term is divided in quarters (Jan to Mar, Apr to Jun, Jul to Sep, Oct to Nov). Payment for lessons will be paid in advance on a quarterly on monthly basis.
Please select preferred payment method.
Monthly fee payable in advance Termly fee payable in advance Family discount (15% discount per additional student)
Maths 1 2 3
English 4 5 6
Maths & English 7 8 9
Banking details:

Bank: FNB
Account name: SAM XXX
Account nr: XXXX
Branch Code: XXXX
Reference: Child's name and surname
I understand one month’s notice must be given to SAM prior to withdrawal of a student.
Yes
COVID19
SAM Trainers will be providing the option of online assistance only during the COVID19 lockdown.
The student will be attending classes.
At the SAM Centre.Through online assistance, collecting books at the centre.Through online assistance, receiving books through email.
Should be Empty:

	Monthly fee payable in advance	Termly fee payable in advance	Family discount (15% discount per additional student)
Maths	1	2	3
English	4	5	6
Maths & English	7	8	9

Student Registration Form