Name: HOLIDAY CLINIC 2
Start: 2024-06-28T08:00:00+00:00
End: 2024-07-08T17:00:00+00:00

NAME and SURNAME *

EMAIL ADDRESS *

CONTACT NUMBER ICE *

FRIDAY 28 JUNE

PRIMARY SCHOOLS 08h30 - 10h00 R200.00 at Menlo

HIGH SCHOOLS 10h00 - 11h30 R200.00 at Menlo

SATURDAY 29 JUNE

PRIMARY SCHOOLS 08h30 - 10h00 R200.00 at Menlo

HIGH SCHOOLS 10h00 - 11h30 R200.00 at Menlo

MONDAY 1 JULY

PRIMARY SCHOOLS 08h30 - 10h00 R200.00 at Menlo

HIGH SCHOOLS 10h00 -11h30 R200.00 at Menlo

TUESDAY 2 JULY

PRIMARY SCHOOLS 08h30 - 10h00 R200.00 at Menlo

HIGH SCHOOLS 10h00 - 11h30 R200.00 at Menlo

FRIDAY 5 JULY

PRIMARY SCHOOLS 08h30 - 10h00 R200.00 at Menlo

HIGH SCHOOLS 10h00 - 11h30 R200.00 at Menlo

SATURDAY 6 JULY

Grade 0-4: 08h30 - 09h30 R150.00.00 at Menlo

Grade 5 - 7 09h30 - 11h00 R200.00 at Menlo

MONDAY 8 JULY

PRIMARY SCHOOLS 08h30 - 10h00 R200.00 at Menlo

HIGH SCHOOLS 10h00 - 11h30 R200.00 at Menlo

TOTAL AMOUNT DUE *

BANK DETAILS *

WORLD OF SQUASH Std Bank Menlyn Acc : 414488431 Ref : Clinic + name

PROOF OF PAYMENT UPLOADED *

POPI ACT - SOCIAL MEDIA *

I understand that my child may appear in photos which could be loaded onto the following social media platforms : St Mary's DSG, World of Squash, Univ of Pretoria

INDEMNITY *

I indemnify and hold the University of Pretoria, World of Squash, st Mary's DSG as well as its employees, representatives and consultants harmless against all loss, costs, damage and disbursements of whatever nature, including legal costs and disbursem

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HOLIDAY CLINIC 2

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