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Rivonia Primary School Access
Contact Details
Name
(Required)
First
Last
Email
(Required)
Phone
(Required)
ID Number
(Required)
What are you?
Parent
Contractor
Other
Details
Description of reason for access to RPS
Please include details pertaining to the reason for your access to RPS and which staff member is responsible for your access.
Children Details
Number of children at Rivonia
1
2
3
4
5
Child 1
Full name
Child 1 - Grade
G0
G1
G2
G3
G4
G5
G6
G7
Child 2
Full name
Child 2 - Grade
G0
G1
G2
G3
G4
G5
G6
G7
Child 3
Full name
Child 3 - Grade
G0
G1
G2
G3
G4
G5
G6
G7
Child 4
Full name
Child 4 - Grade
G0
G1
G2
G3
G4
G5
G6
G7
Child 5
Full name
Child 5 - Grade
G0
G1
G2
G3
G4
G5
G6
G7
Other
Rivonia Account Number
(Required)
Account number found on your school statement
Photo
(Required)
Max. file size: 8 MB.
Upload an ID type photo of yourself (head and shoulders)
Disclaimer and Signature
1. **Purpose of Data Collection**: The information collected on this form is solely for the purpose of maintaining school security and managing access to school premises. 2. **Privacy Assurance**: All personal data provided will be handled in accordance with applicable privacy laws and regulations. It will not be shared with unauthorized third parties. 3. **Consent for Verification**: By signing this form, you consent to the school verifying your identity and any other information provided. 4. **Limited Access Rights**: Signing this form does not grant unrestricted access to all areas of the school. Access is limited to designated areas as specified by school administration. 5. **Security Compliance**: You agree to comply with all school security policies and procedures while on the premises. 6. **Liability Waiver**: The school is not liable for any personal injury, loss, or damage to property occurring on the premises, except in cases of proven negligence by the school. 7. **Revocation of Access**: The school reserves the right to revoke access at any time without prior notice if security policies are violated or for any other reason deemed necessary by the administration. 8. **Reporting Requirements**: You are required to report any suspicious activity or security breaches to school authorities immediately. 9. **Acknowledgement of Risks**: You acknowledge that despite all security measures, there may still be inherent risks associated with being on school premises. 10. **Agreement to Terms**: By signing this form, you confirm that you have read, understood, and agree to all terms and conditions stated above.
Signature
(Required)
Once submitted you will receive a confirmation page with QR code that can be used for gaining access to school grounds. You will also be emailed a copy of this information with a QR code.
PLEASE WAIT WHILE YOUR INFORMATION IS BEING PROCESSED. THIS MAY TAKE A MINUTE OR TWO.
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