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Application Forms
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Note: Should you experience any difficulties with the online form, please click on this link, complete the form online, and print it. Please hand it to the aftercare as soon as possible.

1. By virtue of my/our signature/s hereunder, and in my/our capacity as the legal guardian/s and/or parent/s of my/our child/children enrolled at the Keps Aftercare Centre, I/we understand and agree that:

1.1 The Keps Aftercare Centre is a privately owned and run institution;

1.2 Right of admission to the Keps Aftercare Centre is reserved, and the decision of the proprietor and/or any manager of the Keps Aftercare Centre regarding the admission of any child will be final and binding on me/us. Should admission of my/our child be refused, Keps Aftercare Centre personnel shall not be obliged to provide any reason therefore;

1.3 I/We understand and accept that while the Keps Aftercare Centre shall take all reasonable measures to safeguard the children in their care, including any of its invitees, guests or other personnel, the Keps Aftercare Centre and/or any of these persons shall never be liable to me/us for any loss of life, injury or damage which may occur to any of my/our child/children whilst they are in the custody and care of the Keps Aftercare Centre or any of its personnel, nor shall the Keps Aftercare Centre or any of the parties afore described be liable to me/us for any loss, damage or theft of any of my/our childs/childrens property whilst in the custody or care of the Keps Aftercare Centre or any of its personnel;

1.4 In this regard I/we agree to indemnify and hold harmless the Keps Aftercare Centre, its proprietor, managers, staff, including any of its invitees, guests or any other personnel, against any of the aforegoing events stipulated in 1.3 above, irrespective how such loss of life, injury, damage, or theft was caused, and whether arising from any negligent act or omission on the part of the Keps Aftercare Centre or any of the aforesaid personnel;

1.5 I/We expressly agree that the Keps Aftercare Centre’s responsibility and those of any of its personnel to look after and care for my/our child/children, shall only apply provided that my/our child/children remain present at the Keps Aftercare Centre’s premises. I/We expressly agree that Keps Aftercare Centre and/or any of its personnel shall not be responsible to care for any of my/our child/children where my/our child/children at my/our request vacate or leave Keps Aftercare Centre’s premises for any reason, irrespective whether to engage in any extra mural activity, sporting activity or attend at any designated point external to the Keps Aftercare Centre where they will be fetched, or the like. I/We further acknowledge and agree that once my/our child/children are collected from the Keps Aftercare Centre by me/us, or any other duly authorised person on my/our behalf, I/we agree that Keps Aftercare Centre and/or its personnel shall have no further responsibility to care for my/our child/children;

1.6 This indemnity shall apply and remain in full force and effect in respect also of my spouse, executors, or any other joint custodian of my child/children as the case may be, and in this respect these persons shall be deemed to have read, understood and consented to be bound by the provisions of this indemnity.

By submitting this form, I confirm that I have read and understood the indemnity form. I confirm that all the above information is true and correct and I agree to pay all aftercare fees timeously and according to the requests of the proprietor failing which I understand that services are terminated at the discretion of the proprietor. I am fully aware that the attendance fee for full time aftercare (Mondays to Fridays excluding public and school holidays), as updated on this website annually, is payable annually or quarterly in advance.

Full time ( 4 to 5 times per week )
Casual ( 3 times per week or less )
Half day ( collection on or before 3pm EVERY DAY)
Full day ( collection after 3 pm EVERY DAY )
Mother's Details
Father's Details
Other Details
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Medical Profile Of Your Son
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