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Registration for 2027

This is our official enrolment registration form, online. It takes about 10 minutes, saves as you go, and fills in repeated details for you.

Prefer paper? Download the PDF form

Step 1 of 7

About your child

The little one who will be joining us.

Full name of child *Please enter your child's full name

Name child responds toA nickname, if they have one

Date of birth *Please enter a valid date of birth

Gender *

Girl

Boy

Please choose one

Home address *Please enter your home addressWe will use this for both parents unless you tell us otherwise.

Home phone numberPlease check this number

Parents and guardians

Fill in what applies to your family. Tick "not applicable" if a parent is not involved.

Who is filling in this form? *

Mother

Father

Legal guardian

Please choose one

Your email address *Please enter a valid email addressWe will reply to you here.

Mother

Not applicable

Mother's name *Please enter a name

Place of employment

Cell number *Please enter a valid cell number

Home phonePlease check this number

Work numberPlease check this number

Same address as my child

Mother's address *Please enter an address

Father

Not applicable

Father's name *Please enter a name

Place of employment

Cell number *Please enter a valid cell number

Home phonePlease check this number

Work numberPlease check this number

Same address as my child

Father's address *Please enter an address

Legal guardian

Guardian's name *Please enter a name

Relationship to child *Please enter a relationship

Cell number *Please enter a valid cell number

Place of employment

Please give details for at least one parent, or choose "Legal guardian" above.

Pick-up and safety

Who may collect your child, and who we call in an emergency.

People authorised to pick up your child

Other than the parents listed. Add up to three people.

Name

Relationship

Work or cell numberPlease check this number

Home numberPlease check this number

Emergency contact

Someone other than the parents, in case we cannot reach you.

Name *Please enter an emergency contact

Relationship *Please enter a relationship

Work or cell number *Please enter a valid number

Home numberPlease check this number

There is someone who is not allowed to pick up my child

Name *Please enter a name

Relationship

Work or cell numberPlease check this number

Home numberPlease check this number

Is there a custody agreement? *

Yes

Please choose one

Custody details *Please give the details

A copy of the custody order must be left with the centre's manager.

Health information

So we can keep your child safe and well. Tap "None" for anything that does not apply.

Doctor and dentist

Doctor's name or clinic *Please enter a doctor or clinic

Doctor's phone numberPlease check this number

Doctor's address

Child's CareCard or medical aid number

Dentist's name or clinic

Dentist's phone numberPlease check this number

Regular medication and reasons

Allergies, reactions and treatment * Please list allergies, or tap None

Health concerns (seizures, asthma, vision, hearing, etc.)

Development concerns (behaviour, speech, language, mobility, etc.)

Specific care instructions for any of the above

Other health care professionals involved (OT, physio, etc.)

Getting to know your child

This helps our teachers settle your child in. Short answers are perfect.

Group experiences

Has your child been to a nursery or crèche before?

Yes

Where, and how did your child adapt?

Favourite activities

How does your child behave around other children?

Emotional

How does your child react when left with unfamiliar people or in unfamiliar situations?

What would help our staff ease your child into the programme?

Family information

Significant people in your child's life

Primary language spoken at home *Please enter a language

Other languages spoken at home

Enrolment

Choose the option you need. All 2027 fees exclude transport.

Attendance *

Full Day06:30 to 17:30R2700 pm

Half DayMorningsR2450 pm

Daily RateAs neededR250 per day

AftercarePrimary schoolAsk for rates

Please choose an attendance option

Preferred start month *Please choose a start month

Do you need transport?Transport is from R800 per month.

Pick-up address *Please enter the pick-up addressWe filled in your home address. Change it if needed.

How did you hear about Mercy Land?

Anything else we should know?

I would like to attend the Open Day on Saturday 28 November 2026 at 09:00

Supporting documents needed

Copy of each parent's ID
Child's birth certificate
Child's clinic or vaccination card
Medical aid card showing your child's name (if any)
Proof of income or letter confirming employment
Proof of address

These must reach us on or before your child's first day. After you send this form you can WhatsApp clear photos of them to us, or bring them when you visit.

Consent and send

Check your answers, then give consent and sign.

Send by email

Goes straight to Mercy Land's inbox. Recommended.

Send on WhatsApp

Opens WhatsApp with your form ready to send.

Book a school visit

Come and see our classrooms, garden and kitchen, and meet the teachers who will care for your child.

Open Day: Saturday 28 November 2026, from 09:00
Weekday visits: choose a day and time that suits you
Where: 19 Candy Street, Vorna Valley, Midrand

Add Open Day to calendar

Registration for 2027

About your child

Parents and guardians

Mother

Father

Legal guardian

Pick-up and safety

People authorised to pick up your child

Emergency contact

Health information

Doctor and dentist

Getting to know your child

Group experiences

Emotional

Family information

Enrolment

Supporting documents needed

Consent and send

Send by email

Send on WhatsApp

Thank you, registration received!

Book a school visit

Request a visit

Registration for 2027

About your child

Parents and guardians

Mother

Father

Legal guardian

Pick-up and safety

People authorised to pick up your child

Emergency contact

Health information

Doctor and dentist

Consent for emergency care *

Getting to know your child

Group experiences

Emotional

Family information

Enrolment

Supporting documents needed

Consent and send

Photo documentation

Facebook photos *

Agreement

Signature of parent providing information

Send by email

Send on WhatsApp

Thank you, registration received!

Book a school visit

Request a visit