Registration From
Registration Form
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Surname of Child:
Name of Child:
Date of Birth:
Name of School:
Postal Address:
Father’s Surname:
Father’s Name:
Father’s ID No:
Father’s Cell:
Father’s E-Mail:
Mother’s Surname:
Mother’s Name:
Mother’s ID No:
Mother’s Cell:
Mother’s E-Mail:
Starting Date:
Gender:
Boy
Girl
Handed
(optional)
Left
Right
T-Shirt Size:
3-4
5-6
7-8
9-10
11-12
Any other information Cricky Needs to know (e.g. Allergies etc).
(optional)
Permission to use your child’s photographs for marketing purposes (Social Media etc.)
Yes
No
Terms and Conditions: I,(full name and surname of parent or guardian) give permission that my child may take part in the Cricky Cricket program and that “I agree to pay the initial registration fee of R100.00” and then “I agree to pay the monthly fee of R240 payable before the 7th of each month” or “I agree to pay the quarterly fee of R600.00 in the first week of each term. “ I also agree to give a month’s notice in case of cancellation.”
I Agree
Payment Type:
Option 1: R240.00 per month x 10 months
Option 2: R600.00 per term x 4
Option 3: R2400.00 per year
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CREATED BY JOHAN ENGELBRECHT
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