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PERMISSION AND INDEMNITY FORM

I/We, the undersigned :……………………………………………………………………..

(FULL NAME AND SURNAME)

From: ………………………………………………………………………………………

(RESIDENTIAL ADDRESS)

Parent (s) / Guardian (s) of:………………………………………………………………..

(NAME OF PUPIL)

hereby give permission that my/our son/daughter may participate in all extra-curricular activities which the school offers, including games and the use of all apparatus (climbing frames and jungle gyms) on the school premises.  Furthermore, my/our son/daughter is allowed to participate in physical education and permitted to undertake school excursions, whether on foot, vehicular or by means of public transport.

I/We understand and accept the above-mentioned conditions regarding all extra-curricular activities and excursions.

In my above-mentioned and personal capacity, including my executors, spouse and mentioned child, I/We hereby indemnify the Cape Provincial Administration, the principal, her staff and all her employees against all claims and damages for whatever reason.

The indemnity further includes the child’s participation in all of the above-mentioned activities.

I/We unconditionally accept the terms and conditions as stipulated.

I/We undertake to settle all school fees on or before the due date.

Should I/We wish to terminate this agreement, I/We undertake to give one school term’s notice, in writing, to be addressed to:The Secretary

Mountainview Drive

Eversdal

Bellville

7530

Date:……………………………. Signature:Father/Gaurdian:…………………………….

Place:……………………………..Signature:Mother/Gaurdian:…………………………..

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