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Reg. No. CK87/17906/23

  • 7.

    Confirm and hereby indemnify Sharonlea Child Care Centre and all its employees and representatives and hold them free and harmless in respect of any damages and/or prejudice that I/we or the child (or children, as the case may be) may suffer as the result of illness or injury to my/our child or children, whilst under the control or care of Sharonlea Child Care Centre or where Sharonlea Child Care Center is liable or responsible for such child/children.

  • 8.

    Agree and confirm that my consent given herein, shall be deemed to be irrevocable unless and until withdrawn by me/us in writing, and delivery by hand to the proprietor of Sharonlea Child Care Centre personally, and signed for. Furthermore, the terms contained in the whole of this document shall not be capable of being amended or cancelled by mutual consent unless reduced to writing and signed by myself/ourselves and the proprietor of Sharonlea Child Care Centre.

Unless this consent is signed and completed by the parents/guardian the child will not be allowed to attend Sharonlea Child Care Centre.

Signed at …………………………….. On this the …… day of …………………………..

  • …………………………………………

    ..

MOTHER / GUARDIAN

  • ……………………………………

    ..

PRINT NAME

  • …………………………………………

    .

FATHER / GUARDIAN

  • ……………………………………

    .

PRINT NAME

AS WITNESS:

…………………………………

……………………………………………… PARENT / GUARDIAN SIGNATURE

_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

20 Jarra Street Sharonlea Tel/Fax 011-4621810

71 Ebberhout Street Sharonlea Tel/ Fax/011-7041030 kerri@sharonleachildcare.co.za rita@sharonleachildcare.co.za

P.O.Box 527 Olivedale 2158

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