Please enable JavaScript in your browser to complete this form.Student Name & Surname *FirstLastStudent ID *SA ID number or a passport number.Student Gender *MaleFemaleStudent E-mail Address *G-mail addressStudent Cell Number *Biological Mother's Name *FirstLastMother's ID No. *SA ID number or a passport number.Cell Number (Mother) *Email (Mother) *Biological Father's Name *FirstLastFather's ID No. *SA ID number or a passport number.Cell Number (Father) *Email (Father) *Address *Please add the Town; Postal Code; Province & CountryMarital Status *MarriedSeparatedDivorcedSingleWidow/widowerOtherDetails of both biological parents are required even if the student resides with only one parent.Accounts *MotherFatherOtherWho will be responsible for payment?Contact person *MotherFatherStep ParentTutorOtherWho is the contact person regarding Academics?Name & E-mailComplete if not the biological parents.Cell numberComplete if not the biological parents.Consent *Choice 2BOTH Parents or Legal Guardians hereby give consent to educate the student with Active Home Education Institute.Other circumstances, submit e-mail.Consent is needed from BOTH Parents or Legal Guardians to educate the student with Active Home Education Institute. An affidavit from the separated parent needs to be completed and e-mailed to natasha@activeschool.co.za (If not done so before) If there are any other circumstances which have not been covered above, please attached a detailed e-mail to Natasha.Financial Policy *Choice 2I have read the financial policy and I am aware of a THREE (3) months notice period.I have read the financial policy and I am aware of a THREE (3) months notice period. I have e-mailed the signed 2025 Financial Policy *Signed & e-mailedI have read, signed and e-mailed the financial policy for 2025.Payment *Choice 2I am aware that payment is payable upfront.I am aware of the fact that the payment is payable upfront and that the student’s login will be suspended if payment is not received by the 5th of each month.Who will facilitate the student between 8am – 2pm? *Name; Surname & Contact numberPrerequisite for technology: *Choice 11 Pc/laptop per student (no sharing, no tablets) and a strong internet connection is essential.Grades 3-12 OnlyI understand: *Choice 1Parent & student conferences are compulsory to attend once a term.Copies of Parents and Student ID/Birth certificate documents *Choice 2I have e-mailed the ID's and birth certificate.Please E-mail both Parent ID’s and Student ID or Birth Certificate or passport to natasha@activeschool.co.zaDisclosure to Third Parties *Choice 1No personal information provided to Active Home Education Institute will be shared with any 3rd party. Active Home Education Institute will not sell, trade, or rent any personal information to other organisations.WebsiteSubmit