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Please fill in the following form to reserve your place at Loxley Academy.

Parent Name

Parent Surname

Contact Number

Place of Residence

Province

Learner Name (1)

Learner Surname (1)

Current Grade

Grade applying for in 2026

Last School Attended

Learner Name (2)

Learner Surname (2)

Current Grade

Grade applying for in 2026

Last School Attended

Learner Name (3)

Learner Surname (3)

Current Grade

Grade applying for in 2026

Last School Attended

School Report Learner 1

School Report Learner 2

School Report Learner 3

Message

Payment option (choose between paying monthly or Termly):

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 R1,510 registration fee is required to finalize enrollment and receive access.

I consent to the collection, use, and processing of the information I have provided in this enrollment form.

3rd Term Starts 3 August 2026 – Applications are open for Gr 4 to 9

Enrolment Form

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