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Free Extra Maths
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About Us
Contact Us
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Enrollment Form
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Please fill in the following form to reserve your place at Loxley Online School and Learning Centre!
Parent Name
Parent Surname
Contact Number
Email
Child's Name (1)
Child's Surname (1)
Current Grade
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
Grade 9
Grade applying for in 2026
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
Grade 9
Last School Attended
Child's Name (2)
Child's Surname (2)
Current Grade
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
Grade 9
Grade applying for in 2026
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
Grade 9
Last School Attended
Child's Name (3)
Child's Surname (3)
Current Grade
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
Grade 9
Grade applying for in 2026
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
Grade 9
Last School Attended
Last School Report
ID Parent 1
ID Parent 2
Birth Certificate of Child (1)
Birth Certificate of Child (2)
Birth Certificate of Child (3)
Proof of Home School Registration at Department of Education.
Message
Please note: Payment is strictly via EFT. Once you submit this form, you will receive an email with banking details and a unique reference number (e.g., LOX-ChildName-Grade)
I understand that a R1,500 registration fee is required to finalize enrollment and receive access to the Canvas LMS.
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