Toere Toestemming / Tours Consent
Voltooi asb die onderstaande vorm. / Please complete the form below.
Sign in to Google to save your progress. Learn more
Leerder se van
Learner's surname
 *
Leerder se naam 
Learner's name
 *
Ouer se  naam  en van
Parent's name and surname
 *
Leerder se selfoonnommer
Learner's cellphone number
 *
Ouer se selfoonnommer 
Parent's cellphone number
 *
Ouer se e-posadres 
Parent's email adddress
Mediese Fondsnaam 
Medical Aid Name
 *
Mediese Fondsnommer 
Medical Aid Number
 *
Mediese Hooflid se Naam
Medical Aid Main Member's Name
 *
Op watter toer gaan u seun?
Which tour will your son be joining?
 *
Required
Ons is bewus van die koste vir die toer en onderneem om die volle bedrag te betaal.
We are aware of the costs involved for this tour and undertake to pay the full amount.
Het u seun enige mediese toestande waarvan die skool moet kennis dra? 
Does your son have a medical condition which the school must be aware of?
 *
Verskaf inligting indien u "JA" hierbo geantwoord het. 
Please provide information if you answered "YES" above.
Hiermee verleen ek, as ouer/voog toestemming dat bg. leerder die toer mag meemaak.
As parent/guardian of the abovementioned learner, I give my consent that he may participate in this tour.
 *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Paul Roos Gymnasium.

Does this form look suspicious? Report

Google Forms