DATE……………………………………
Cost per Child…………………………R
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Details of Child
Name of Child …………….....…………...……..........AGE........Cell no.................................
Resident Address of Child.............................................................................................................
Shirt size of Child: small....................medium......................large.....................other.........................
Health status...................................................................................................................................
Part Time Activities.........................................................................................................................
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Details of Parent / Legal Guardian (please indicate)
Father……………..……….………………………………Cell no……….....………………….
Mother……………………………………………………..Cell no……..………..…………….
Occupation- Father…………………………………..Mother…………………………………..
Residential Address: ....................................................................................................................
..................................................................................................................
E- Mail address of Parent / Legal Guardian: .............................................................................
Home tel. no...........................................................office tel. no...................................................
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Signature of Parent / Legal Guardian………………………………………………………....
Signed entry form means parent / legal guardian except code of conduct on player’s behalf and agrees to all activities, holding the organizers harmless against any claims that may arise. Organizers endeavor to safeguard all participants. Changes may be made without prior notice.
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