The Water Polo Academy 2019 Registration
Childs Name *
Your answer
Childs Surname *
Your answer
Childs School and Grade *
Your answer
Parents Name *
Your answer
Parents Email *
Your answer
Parents Mobile Number *
Your answer
Indemnity Information
Therefore I hereby;
1. Acknowledge that I have familiarised myself with the nature and extent of the sport and the risks and dangers to which my child may be exposed to as a result of his / her participation in the sport.
2. Voluntarily assume the risks and dangers to which my child may be exposed to as a result of his / her participation in the sport and hereby give my consent and give permission for my child to participate.
3. Agree not to hold The Water Polo Academy and its employees responsible for any damages, costs and or expensive incurred should my child be injured in any activity organised by The Water Polo Academy
4. By clicking "Yes," on this form I hereby agree to the terms of the indemnity form above.
I hereby indemnify The Water Polo Academy *
Payment Details
Costs:
Per session: R250.00 payable in advance
Per Term: R2100 or R700 per month payable on the 30th of each month

ALL PAYMENTS ARE PAYABLE UP FRONT AND YOU MUST CHOOSE TERMLY OR PER SESSION

Bank Details:
ML Sports Academy
Acc No: 62795471045
Branch Code: 250655 (Tokai FNB)
Ref: Surname – Term 1
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