Gems Private Boarding Admission

Boarding Admission Form

Attach Boarder’s Picture

Maximum file size: 134.22MB

Academic year you are applying for:

LEARNER/BOARDER DETAILS

Surname

Full Name

Date of Birth

Gender

Mother tongue

Previous School

Other siblings in this school

Learner lives with: Learner lives with:

1. Does the boarder have any allergies/illness the boarding house should know about? If yes, details:

2. What steps should be taken in this case?

3. Family doctor’s name and telephone No:

Parent(s) Guardian’s information

Father/Guardian’s Surname:

Mother/Guardian’s Surname:

Father/Guardian’s First Name:

Mother/Guardian’sFirst Name:

Father/Guardian’s ID/Passport:

Mother/Guardian’s ID/Passport:

Father/Guardian’s Occupation:

Mother/Guardian’s Occupation:

Father/Guardian’s Employer and town:

Mother/Guardian’s Employer and town:

Father/Guardian’s Residential Address:

Mother/Guardian’s Residential Address:

Father/Guardian’s Postal Address:

Mother/Guardian’s Postal Address:

Father/Guardian’s Tel: (W)

Mother/Guardian’s Tel: (W)

Father/Guardian’s Mobile number:

Mother/Guardian’s Mobile number:

Father/Guardian’s Email:

Mother/Guardian’s Email:

Father/Guardian’s Emergency contact:

Mother/Guardian’s Emergency contact:

WEEKENDS AND HOLIDAYS

The child goes home during the GRN home-weekends. Also, the child goes home for end of term holidays.

Picked-up are strictly latest at 12:00pm on Friday days or for holidays.
Drop-off times are strictly from 14:00pm Sunday during home-weekends or after holidays.

IMPORTANT NOTICE: Kitchen does not open on the day of arrival, only the next morning for breakfast, so please make sure your child has food for that evening when you bring them back from out weekend or holidays.

NOTE: The boarding house supplies a few snacks; if you want the child to have more of these, please pack for them.

NO CANNED FOOD, SWEETS, FIZZY DRINKS, CHOCOLATES, ARE ALLOWED IN THE BOARDING HOUSE.
Damage Liability – Parents are liable for any deliberate damage caused by their child to boarding property and other boarders’ property/belongings.

Standards of behaviour and discipline – Learners are expected to behave in a polite and responsible manner throughout the stay at the boarding house, showing respect to fellow learners and staff members. Strict disciplinary procedures will be enforced for serious misbehaviour such as bullying, racism, tribalism or general disrespect for facilities, staff and others.

Valuables – please do not send learners with valuables. The boarding house will not assume any responsibilities for damages and or loss.

Click to view 2026 Boarding Supply List

Contractual agreement between the Parent(s)/Guardian(s) and Gems Field Private Boarding house. By signing this application form:

I / We

Add your name(s)

Parent(s)/Guardian(s) wish to enrol the above- named boarder at Gems Field Private Boarding house subject to the financial requirements and regulations of the boarding house/facilities. My child and I have read and discussed the Learner’s Code Of Conduct (LCOC) we agree with and will ascribe to it. I have read and agree with the Terms and Conditions (T&C) I understand my obligations furnished therein. I declare that the information furnished above by myself/us has been answered truthfully and to the best of my/our knowledge.

Signature Father/Legal Guardian

Clear

Signature Mother/Legal Guardian

Clear

Date of Signature

Gems Field Private School values its relationship with its students, their parents, and alumni, and is committed to the protection of their personal information. Accordingly, the school adheres to the privacy principles set out in the Personal Information Protection and Electronic Documents Act of
Namibia

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