Wits Sport HPC Registration Form
Wednesday, 12 June - Saturday 15 June 2019

Please E-mail your proof of payment to: vinolia.austin@wits.ac.za before Monday 10 June, 2019
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Company /Organisation *
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Area of Interest *
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Postal Address *
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Telephone Number
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Cellphone number
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E-mail Address *
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Amount Paid *
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I hereby indemnify the University of the Witwatersrand against all claims for damages, injury, incapacity, death etc. that may arise from my attending the WITS SPORT HIGH PERFORMANCE COACHING PROGRAMME to be held during April and May 2019 at the Wits Sport Conference Centre. *
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Name and Surname *
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Date *
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