Learner's Name . . Parent/Guardian's Email For which Grade are you applying? Grade R Grade 1 Grade 2 Grade 3 Grade 4 Grade 5 Grade 6 Starting Date Current School Present Grade None Grade R Grade 1 Grade 2 Grade 3 Grade 4 Grade 5 Grade 6 Sibling is already at KEPS Yes No Father's Name . Father's Address . . . . Father's Cell No Father's Email Address Mother's Name . Mother's Address . . . . Mother's Cell No Mother's Email Address Send
