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MMA : 2025 National Top Schools

Name: MMA : 2025 National Top Schools
Start: 2025-08-07T08:00:00+00:00
End: 2025-08-07T17:00:00+00:00

August 7, 2025 @ 08:00 - 17:00

Name + Surname of Athlete *

Contact number of Athlete *

Name of Parent *

Contact number of Parent ICE *

Name of Medical Aid and Plan *

Medical Aid number *

Meds + Allergies *

Email address of Parent responsible for payment *

Bank details *

World of Squash. Standard Bank Acc No : 414488431. Ref u13 + name of player

Payment plan *

R 4250.00 full payment - once off

Proof of Payment *

Dietary requests - allergies etc

Social Media *

I hereby give permission for my child to appear in photos which will be posted on the following platforms - TuksSquash, World of Squash and their respective schools

Indemnity clause

BY SUBMITTING THIS FORM : I indemnify and hold the University of Pretoria, Die HS Menlopark, World of Squash as well as its employees, representatives and consultants harmless against all loss, costs, damage and disbursements of whatever nature, including legal costs and disbursements relating to any damage that may be suffered, however caused, directly or indirectly, arising from my participation in or involvement with any of the above sports activities.

Indemnity confirmation *

I confirm that I have read and understood the INDEMNITY CLAUSE as set out in the section above.

Discipline *

I agree that my child will abide by normal school rules and refrain from smoking (vaping incl), use of alcohol or any other substances. Any child found in a situation where these substances are present, can be sent home at the parents expense

In Loco Parentis consent

“I give permission for Coach Liz Mackenzie to act on my behalf, in case of emergency, at the National Top Schools Tournament held in Petermaritzburg from 7 to 10 August. All efforts will be made to contact the parent first. Should the parents not be reached, Liz Mackenzie will act as the in Loco Parentis."

In Loco Parentis confirmation *

I confirm that I have read and understood the IN LOCO PARENTIS CLAUSE as set out in the section above.

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Details

Date: August 7, 2025
Time:
08:00 - 17:00