Name: JULY HOLIDAY CLINIC
Start: 2025-07-17T08:00:00+00:00
End: 2025-07-17T12:00:00+00:00

NAME and SURNAME *

EMAIL ADDRESS *

CONTACT NUMBER ICE *

WEDNESDAY 16 JULY

KICK START 08h00 - 09h00 - R175.00 at Menlo

PRIMARY SCHOOLS 09h00 - 10h30 - R250.00 at Menlo

HIGH SCHOOLS 10h30 - 12h00 - R250.00 at Menlo

THURSDAY 17 JULY

KICK START 08h00 - 09h00 - R175.00 at Menlo

PRIMARY SCHOOLS 09h00 - 10h30 - R250.00 at Menlo

HIGH SCHOOLS 10h30 -12h00 R250.00 at Menlo

FRIDAY 18 JULY

KICK START 08h00 - 09Hh0 R175.00 at Menlo

PRIMARY SCHOOLS 09h00 - 10h30 - R250.00 at Menlo

HIGH SCHOOLS 10h30 - 12h00 - R250.00 at Menlo

TOTAL AMOUNT DUE *

BANK DETAILS *

MENANTO MALAN FNB Acc : 62866835740 BRANCH CODE: 252045 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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JULY HOLIDAY CLINIC

Details