Application Form
Name of Father
Name of Mother
ID no Father
ID no Mother
Cell no Father
Cell no Mother
Postal Address
*
Postal Code
E-mail Address (Required)
E-mail Address (Optional)
Name of Judo Student
Surname of Judo Student
Grade and Time Slot
Gr R - 1 - Thursdays - 13:15 to 13:45
Gr 2 - 3 - Thursdays - 14:00 to 14:30
Gr 4 - 7 - Thursdays - 14:30 to 15:00
Date of Birth
Payment Option
Pre-school(ages 4-6)- R330 per month
Pre-school(ages 4-6)- R800 per term
Primary (Gr1-7) – R400 per month
Primary (Gr1-7) – R1000 per Term
Commencement Date
a Once off R200 fee is payable on registration
Acknowledgement and Acceptance
I hereby give permission for my child to attend judo classes. I absolve the instructors and all participating parties whatsoever from any responsibility should my child sustain an injury during a practice session or at any other time, including transport to and from judo when applicable. I AGREE TO PAY THE FEES WITHIN THE FIRST TWO WEEKS OF EACH NEW SCHOOL TERM. I TAKE NOTE THAT OVERDUE ACCOUNTS WILL BE HANDED OVER TO DEBT COLLECTORS FOR COLLECTION. I undertake to give one term’s written notice should my child decide to stop with judo. I take note that all fees are payable during the notice period. I accept responsibility for all costs that the owners of Golden Score and the debt collectors will charge concerning the collection of overdue fees. I take note that fees will increase at the beginning of each new school year.
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