enroll online

Feel free to enroll your child/children in Komuka Daycare via our website. We shall receive your application instantly and our team will respond to you in the shortest time possible.

CHILD'S INFORMATION
PARENT/GUARDIAN INFORMATION
AUTHORIZED PICK-UP PERSONS (Other Than Parents If Any):
CHILD'S MEDICAL INFORMATION.
PERMISSION AND CONSENT:

CHILD'S FULL DETAILS

CHILD'S FULL NAME:

DATE OF BIRTH:

GENDER:

NATIONALITY:

PRIMARY LANGUAGE

POSITION IN THE FAMILY

CHILD'S ADDRESS:

ADDRESS:

CITY:

Parent/Guardian Name

Parent/Guardian Full Name

RELATIONSHIP TO CHILD:

HOME ADDRESS:

CONTACTS

PHONE NUMBER:

EMAIL ADDRESS:

PLACE OF WORK:

PARENT'S ID (Add a copy of your national ID for citizens and/or a copy of your passport for non citizens)

Choose a file

Max. size: 32.0 MB

Authorized Pick-up Person One.

FULL NAMES:

RELATIONSHIP:

PHONE NUMBER:

Authorized Pick-up Person Two.

FULL NAMES:

RELATIONSHIP:

PHONE NUMBER:

DOCTOR

DOCTOR'S NAME:

DOCTOR'S PHONE NUMBER

PREFERRED HOSPITAL

HOSPITAL NAME:

HEALTH INSURANCE PROVIDER:

POLICY / GROUP NUMBER:

ALLERGIES/MEDICAL CONDITIONS:

ANY SPECIAL NEEDS/REQUIREMENTS:

ATTACH A COPY OF A MEDICAL FORM (For kid with Special medical need):

Choose a file

Max. size: 32.0 MB

IMMUNISATION DETAILS

ATTACH A COPY OF YOUR CHILD'S IMMUNISATION CARD:

Choose a file

Max. size: 32.0 MB

CONSENT

PERMISSION AND DECLARATION:

Permission and Consent: I give permission for my child to participate in all activities at Komuka daycare, including field trips, outdoor play, and age-appropriate games and crafts. I understand that the daycare staff will take all necessary precautions to ensure the safety and well-being of my child.

Declaration: I hereby declare that the information provided above is true and accurate to the best of my knowledge. I understand that any false information may result in the termination of my child's enrollment in the daycare.

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Open days

Today

enroll online

Submit the required details as a parent or guardian of the child.

Enter your child's medical information. Endavor to submit all the correct information concerning your child health.

CHILD'S FULL DETAILS

CHILD'S FULL NAME:

DATE OF BIRTH:

GENDER:

NATIONALITY:

PRIMARY LANGUAGE

POSITION IN THE FAMILY

CHILD'S ADDRESS:

ADDRESS:

CITY:

Parent/Guardian Name

Parent/Guardian Full Name

RELATIONSHIP TO CHILD:

HOME ADDRESS:

CONTACTS

PHONE NUMBER:

EMAIL ADDRESS:

PLACE OF WORK:

PARENT'S ID (Add a copy of your national ID for citizens and/or a copy of your passport for non citizens)

Authorized Pick-up Person One.

FULL NAMES:

RELATIONSHIP:

PHONE NUMBER:

Authorized Pick-up Person Two.

FULL NAMES:

RELATIONSHIP:

PHONE NUMBER:

DOCTOR

DOCTOR'S NAME:

DOCTOR'S PHONE NUMBER

PREFERRED HOSPITAL

HOSPITAL NAME:

HEALTH INSURANCE PROVIDER:

POLICY / GROUP NUMBER:

ALLERGIES/MEDICAL CONDITIONS:

ANY SPECIAL NEEDS/REQUIREMENTS:

ATTACH A COPY OF A MEDICAL FORM (For kid with Special medical need):

IMMUNISATION DETAILS

ATTACH A COPY OF YOUR CHILD'S IMMUNISATION CARD:

CONSENT

PERMISSION AND DECLARATION:

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