Annual Hermanus Girls Camp
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Email *
Name and Surname
Contact Number
Date of Birth
Parents/Guardian name and contact number
Swimming Competency
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Any special skills you would like to contribute?
Health Disclosure
This is an active camp and it is necessary to know any health complications that might arise during an activities. Please list any areas of potential weakness such as asthma or allergy.
Your general Health (add any health comments)
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Dietary Requirements
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Cost of Camp:
The cost of the camp will be R1,000.00 to be paid in cash or via EFT into the following account:
Account Name: Mrs H Duk
Bank: Capitec Bank
Account number: 1347278433
Branch Code: 470010
Ref: Your Childs Name
Savings account
Cost of Camp - I have made an EFT
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Commitment (to be signed by the applicant/camper)
I undertake to respect the authority of the Camp Leader and Organiser and to participate in the activities as planned by the camp leaders as I am able.
I undertake to show respect to other campers and leaders at all times.
By ticking YES, you agree to the commitment clause above
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Indemnity (to be signed by the applicant/camper)
Hermanus Girls Camp undertakes to look after your child as if they were our own and to ensure that no danger befalls them that could reasonably be avoided.
However, in the event of an accident to your child, Hermanus Girls Camp clears itself of obligation to cover any costs arising from the accident.
By ticking, YES, you agree to the Indemnity Clause above
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2 Witnesses (please type names)
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