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Private Coaching - Membership Application
Name & Surname
Name of Parent/Guardian
Cell Number Father
Cell Number Mother
1 X 30 MIN SESSION PER WEEK @ R120 per session.
1 X 60 MIN SESSION PER WEEK @ R220 per session.
I AM THE LEGAL GUARDIAN OF THE REGISTRED CHILD AND WILL NOT HOLD PRO-CRICK, OR ANY OF ITS COACHES/CO-ORDINATORS RESPONSIBLE FOR ANY LOSS OF PROPERTY AND/OR INJURIES SUSTAINED WHILST ATTENDING COACHING SESSIONS AND/OR MATCHES PLAYED IN, INCLUDING TRANSPORTATION TO AND FROM THESE SESSIONS, THESE BEING ARRANGED FOR AND ON BEHALF OF PRO-CRICK.
By checking this option I agree to the above indemnity statement.
Indemnity signed by parent
Thank you for submitting this application form.
You will be contacted soon.