Registration First name*Surname*Date of birth* Date Format: DD slash MM slash YYYY Contact InformationParent 1 Name* First Last Cellphone*Email Address* Work TelephoneParent 2 Name First Last CellphoneEmail Address Work TelephoneMedical InformationDoctor's NameContact NumberMedical AidMedical Aid NumberAllergies (If Any)Indemnity & Fee Acknowledgement I, the undersigned parent / guardian, give permission for my child to register as a gymnast at the Jozi Rhythmic gymnastics club. I undertake to pay all fees due, which include the following: Club Registration Fee SA Gymnastics Federation Registration Fee All competition entries Tuition fees are 11 monthly payments or 4 Term payments by the stipulated due dates. I understand that my child will be withdrawn from any competition if the necessary fees have not been paid in by the due date. I hereby irrevocably indemnify the Jozi Rhythmic Gymnastics Club, the South African Gymnastics Federation and the Central Gauteng Gymnastics Association and/or any agents or officials of these organizations, against any claim for injuries or sickness which may arise from my child’s/ward’s participation in and traveling to and from the gymnastics practices, competitions, courses and/or displays organized by and for these organizations with knowledge and appreciation of the risk inherent in these activities. I accept to give one calendar month paid and written notice, should my child/ward wish to terminate classes of their own accord. I accept that no notice may be given at the end of the 3rd Term of the year to avoid paying 4th Term fees. T&Cs* I hereby have read, understood and agree to the above information.