“Awesome Swim School” Admin./Corr./Kleuterskole/Parents SWM SCHOOL Information 2019

Info@AwesomeSentrum.co.za

072 22 77 478 or 083 302 8930

Thank you for showing an interest in our Awesome Swim School

Awesome Swim School Services:

✓ Water safety and Learn to Swim lessons ALL AGES, ALL ABILITIES, 12 Months a year, 6 days a week (Mon – Thu 09:00 to 17:00, Fri

12:00 to 17:00, Sat 08:00 – 14:00)

✓ Stroke preparation, correction and development

✓ Adapted Swimming – Special needs

✓ Group lessons & Private lessons, Baby & Parent, Adult, Toddlers, Children & Teenagers

✓ Water aerobics

✓ WATSU & hydro facilitation

We have safe and affordable transportation available to our crèche/pre-primary and aftercare customers included in a 5 km radius.

Infrastructure - Awesome Swim School facilities

✓ Heated & temperature controlled / Indoor pool (30 – 33 degrees Celsius)

✓ Security and Access control

✓ Climate controlled dressing rooms (air conditioner)

✓ Spotless amenities with hairdryers and organised clothing storage facilities for our Crèche/Pre-primary school pupils

✓ Separate Boy/Girl dressing cubicles & toilets

✓ Swim South Africa Affiliated & Qualified and trained, passionate Instructors

✓ Dress Assistants and Caretakers to assist our little swimmers before and after lessons, always under supervision

Included Wash & Store service available to our crèche/pre-primary and aftercare customers, Bag fee once off R80.00

Teaching LTS the Awesome Way:

✓ We are serious about empowering each and every potential swimmer that we encounter. This is, first of all, about saving a life and

secondly developing a life-long love for the aquatic environment. Swimming children will become Swimmers, Iron Men

competitors, Olympians, Water Sport men/women & Mommies/Daddies having water fun with their family.

✓ Our unique method of teaching has an unrivalled reputation for delivering excellent results.

✓ 18+ Years’ experience and still passionate about what we do! We believe this is because we choose to remain a medium sized,

individually focused, child-centred institution. Seeing our children progress and improve whilst loving to learn is what makes us tick!

Affiliations and Qualifications:

Hands-on Owner/Instructor & registered WATSU Therapist Estelle Brenkman believes that it is her respect, understanding

and passion for children {(obtained and adapted over years of practical experience and training (in the field of communication

sciences, play therapy, early childhood development, Learn-to-Swim and Baby swim Teaching and Coaching), paired with her

special interest of adapted swimming and paediatric hydro therapeutic techniques)}, that resulted in the unique Awesome

Swim School’s teaching approach. All Awesome Instructors undergoes in-house training to ensure quality control

and standardization.

Qualified, Affiliated &/or Registered member of:

✓ SSA (Swem South Africa)

✓ IOS Swim England Level 2 Instructor

✓ PBSTA (Professional Baby Swim Teachers Association)

✓ ASCA (American Swim Coaches Association)

✓ WABA (World Aquatic Bodywork Association) Certified and Registered WATSU Practitioner

✓ Hydrotherapy training: International Pediatric, Orthopaedic, Advanced Aquatic Techniques

✓ CPR First Aid level 1

✓ N.T.S. (Northern Tigers Swimming)

✓ CGA (Central Gauteng Aquatics)

Why should you and your child learn to swim?

✓ Swimming is a healthy, lifesaving, FUN-Filled experience at Awesome Swim School – we teach your child to LEARN TO SWIM, but also

to LOVE TO SWIM, or we did not do our job!

✓ Our first aim Safety (ASAP by building skills and strength) is to empower your child to interact safe in and around water. We do this

in such a way that there is daily progressive development of swim skills and strength.

✓ It renders great physical, emotional, social and cognitive development, as shown by clinical research

✓ Swimming is great physical exercise (and especially in young children often renders a secondary, therapeutic advantage) developing

and strengthening gross & fine motor skills, balance, co-ordination, proprioception, respect, ability to process instruction, self-

awareness and self-confidence. V7Nov2019

VJun19 I have read and understood the terms and conditions on this page. I am aware that these prices (although applicable at date of enrolment) may change with notice.

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PRICE LIST

FEES (V2 July 2019)

Once-Off Enrolment & Registration

R390.00 (non-refundable)

DUE IMMEDIATELY UPON REGISTRATION

NB:

ONE FULL CALENDAR MONTH’S CANCELLATION NOTICE REQUIRED Submitted via e-mail or by hand with proof of delivery obtained, on the designated notice form, dated and signed on OR BEFORE the 1st workday of the notice month.

ALL FEES PAYABLE IN ADVANCE

PAYMENTS PER SCHOOL TERM (THREE-MONTHS) IN ADVANCE) NOTE: Fees may be paid in three equal monthly installments, provided each installment is paid strictly before the 1st day of every month. Payments Methods accepted: EFT PAYMENTS or PRE-ARRANGED CASH PAYMENTS at ADMIN. OFFICE preferred. A Transaction fee of R50 is payable for each and every Cheque or Cash deposit at a bank counter/ATM

RESERVATION FEE (Yearly): R200, DUE BY 1 DECEMBER each year FOR RESERVATION OF TIME SLOTS for the next year (exempted 3rd year)

WINTER MONTHS BREAK, HOLDING FEE: 50% DISCOUNT (Max 2 months, request 1 month in advance)

TRANSPORT DETAILS AVAILABLE ON REQUEST

IMPORTANT: ADD R50 TRANSACTION FEE TO AMOUNTS STATED BELOW FOR EVERY CHEQUE OR CASH PAYMENT AT BANK COUNTER OR ATM

SERVICE DESCRIPTION TIMES / WEEK

FEE PER SCHOOL TERM (THREE MONTH PERIOD)

MONTHLY INSTALLMENTS

Baby & Parent Classes (Ages 6 months to 24 months)

1 R1 290.00 R 430.00

2 R1 920.00 R 640.00

Learn to Swim and Stroke Correction Classes (Children ages 2 +)

1 R1 290.00 R 430.00

2 R1 920.00 R 640.00

Adult Swimming Lessons (Learn to Swim OR Development)

1 R1 590.00 R 530.00

2 R2 490.00 R 830.00

Nursery Schools Swim & Transport (Within 5 – 8 km radius, morning hours)

1 R1 560.00 R 520.00

2 R2 220.00 R 740.00

Aquarobics 1 R 900.00 R 300.00

2 R1 470.00 R 490.00

WATSU Session, Private session & Adapted Groups Session Price on request

BANKING DETAILS NB: DO NOT MAKE PAYMENT IF YOU HAVE NOT RECEIVED A REFERENCE! Account FNB, Awesome Sentrum, Branch code 260-216, Number: 62 66 0 66 7521 (Cheque Account)

Important: EFT payments to reflect in our bank account on or before 1ST of the first month. If a payment does not reflect by the 8th of the month lessons will be suspended. You will be allowed one week in which to rectify the default payment and submit proof-of-payment, whereafter lessons may continue. In the event of a default payment not being rectified, the swimmer will lose the reserved swim slot and will have to re-register. SMS/WhatsApp Payment Notice after rectifying TO 072 22 77 478 at least 5 hours before swim slot.

Note: PRICES are VAT inclusive. PRICES are SUBJECT TO CHANGE on 1 MONTH’S NOTICE

VJun19 I have read and understood the terms and conditions on this page: ....................................................

SIGNATURE PAGE 1 of 3

AWESOME SWIM SCHOOL AGREEMENT

GENERAL CONDITIONS ENROLMENT

1. Enrolment details as stated on the Enrolment Form (3 Pages). It is imperative that you provide your correct ID number.

2. It is important that you read the clauses dealing with responsibilities and liabilities, acceptance of risks, disclaimers, and accepting

waivers carefully and to seek advice first if you do not understand their meaning, extend and effect. 3. The swim school reserves the right to amend these terms and conditions or any part thereof and shall provide you with prior notice of such change or amendment and

the date on which it takes effect at least 30 days before it takes effect.

4. The minimal enrolment period is six (6) months, but before registering (not afterwards) you may apply to register for a shorter period (not less than three months).

Please note that swim slots are allocated only per calendar year (see 8 below). Automatic Renewal of Contract: After the initial six months this agreement will be renewed

on a month to month basis.

5. If this contract is extended for an additional year or longer after 24 months, a reduced reservation fee of R50.00 for retaining of time slots are payable for each additional

year.

6. The swim calendar is from mid-January to end-November for normal lessons. For the avoidance of any doubt and misunderstanding, the number of swimming weeks

of terms 1 and 4 (summer months) are less than that of terms 2 and 3 (winter months), meaning the effective cost per lesson for winter months is slightly less than that

for summer months.

7. There is no swim lessons during public school holidays, school long weekends and on public holidays, as well as during December months, unless if so arranged by the

swim school. From the beginning of December, booster and crash courses may be offered (dependent on availability of instructors) to interested participants that

need to enrol for them.

8. Once the applicant has submitted the comprehensively completed and signed documentation AND the registration and swim fees have been paid, time slots for swim

lessons will be reserved in the Swim School’s schedule for a calendar year (or the remaining part thereof) on a first-come first-served basis. Enrolled swimmers must

rebook time slots for the next calendar year during October (Refer price list).

FEES & PAYMENT 9. A Price List (1 page) that sets out our current fees and charges are available upon request.

10. A non-refundable enrolment & registration fee is payable upon registration with the swim school. A non-refundable reservation fee is payable every October to reserve

a swimmer’s usual swimming slot for the next year.

11. All swim fees are strictly payable in advance.

12. Payment for a term must reflect in the Awesome Sentrum’s bank account on or before the 1st of the first month of a term. However, the term fee may be paid in three

equal monthly instalments PROVIDED that each monthly instalment is paid before the 1st of each month.

13. Payments are for reserved and scheduled time slots for lessons irrespective whether these slots are used or not used.

14. If a newly enrolled participant does not turn up for the scheduled first lesson, no catch-up lessons will be arranged and there is no refund or credits for the missed

lessons. Furthermore, “no show” slots will be forfeited after two lessons of not pitching up.

15. Please use the Payer’s Surname and Name as reference when making a payment and use the same reference for every payment.

16. Proof of-payment (PoP) of the first EFT payment made should be send via WhatsApp or SMS message to 072 22 77 478, OR a hard-copy of the PoP

can be submitted to the instructor at the office before the first lesson commences. 17. Participants who have attended their swim lessons for 11 months + 1 crash course, as well as through winter without a break, qualify for exemption from paying the

annual fee for reservation of time slots if there were no late payments during the 12-month period. A participant must apply for this exemption before 20 October (e-

mail request only, please). The same slots cannot be guaranteed for participants that do not pay the reservation fee. Participants that took a winter break or requested

any other changes/adjustments and paid the holding fee during the year, do not qualify for this exemption.

18. Fees will be adjusted and details about the adjustments will be communicated at least a month in advance of taking effect. For participants that enrolled less than one

month before the date of communication about the price increase, the notice period will be the period between the enrolment date and the date on which the new

prices take effect.

19. If you notice an obvious error on an invoice or statement, or if you in good faith feel that your account contains incorrect charges, payments or adjustments, please

bring this to the school’s attention per SMS/WhatsApp/e-mail or in writing as soon as possible to resolve. Should a dispute arise about payment YOU EXPRESSLY

ACKNOWLEDGE AND AGREE THAT the payment of any amount that is not in dispute cannot be withheld for any reason (including without limitation when that amount

is on an invoice together with an amount that is in dispute) and that you will pay the undisputed portion on time.

TERMINATING OR CHANGING LESSONS 20. Cancellation or Postponement of Lessons: It No Verbal notices / SMS messages / WhatsApp messages or any informal notes will be accepted. A minimum of 1 calendar

months’ notice (i.e. at least one month in advance) is required on all notices/changes/requests.

21. All Official Forms can be obtained via e-mail request and/or at the office during official working hours only. The completed form can either be returned by e-mail or be

handed in at the office WITH PROOF OF DELIVERANCE OBTAINED, during normal school term hours only.

22. No deck or poolside communication will be acted upon unless followed up on the relevant official form.

TERMINATING LESSONS 23. One calendar months’ notice must be given to terminate this contract. The notice must be given on the official form only (Form 1A) and this form as well as proof-of-

payment (PoP) of the premature cancellation charge (if applicable – see 17 above) must be e-mailed to Info@AwesomeSentrum.co.za. Such e-mail is to

be received no later than on the 1st day of your last swimming month.

VJun19

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24. If you do choose to terminate this Agreement before 6 months of your Agreement has expired, you will be subject to payment of a reasonable premature cancellation

charge and you will have to pay all outstanding amounts. A reasonable premature cancellation charge for the purposes of this clause shall mean the equivalent fee of

one full month of your fees (i.e. a third of the full fee for one term). For the avoidance of any doubt and misunderstanding, there are no swimming lessons for the

cancellation charge.

25. Participants who want to take a break from lessons during winter, can apply for a discount for the period of the break at least one (1) month in advance provided there

were no late payments during the immediate previous 12-month period . Application forms (Form 3A) for the discount must be obtained, completed and submitted at

the Administrative Office (proof of submission should be obtained). This form (Form 3A), may also be requested and submitted per e-mail.

26. The swim school shall be entitled, in its sole discretion, to cancel this Agreement if it finds the swim student to be unable, physically or mentally, to proceed with swimming

lessons.

CHANGING LESSONS 27. Subject to the availability of slots in the school’s schedule, time slots or the number of classes per week, may be changed on request. However, such request to reduce

/ increase the number of classes per week, must be lodged at least a full calendar month in advance and always on the official application form, Form 2A, available at the

office or via e-mail.

LESSONS MISSED 28. Lessons not attended (missed) are not eligible for rescheduling or any refunding. In exceptional circumstances a request with a medical certificate can be submitted (on

Form 4A) for evaluation by the Director of the school and the Director’s decision is final and no extended communication will be entered into if requests are denied.

29. Lessons cancelled due to lightning cannot be rescheduled, except if offered on Director’s discretion. However, we trust you will agree that a SAFETY FIRST POLICY is

essential.

30. Please keep in mind that by sending your child to swim when ill, you may expose the swim instructor and all other pupils in the following classes to the same illness.

We are obliged to protect the other children in our classes, as well as our instructors and may have to request swimmers to not attend the lesson and return for lessons

when they are well again.

31. It is courteous to let us know if you will not be able to make a lesson. Please do this as soon as possible, preferably via text/WhatsApp on: 072 22 77 748 or 083 302

8930.

32. The swim school reserves the right to cancel / adjust swim slots in unusual circumstances. Such changes / cancellation will be well motivated and clearly communicated.

33. The swim school reserves the right to cancel this Agreement if it finds the swim student to be unable, physically or mentally, to proceed with swimming lessons.

MEDICAL TREATMENT 34. Should a participant requires emergency medical attention, you hereby authorize the school’s personnel and/or its representatives to assist in any way deemed possible

at the time and/or to transport the injured party to the Panorama Medical Center for medical treatment if possible and/or to inform you immediately and/or to arrange

the services of any medical emergency services on your behalf and that the costs incurred from this will be for your account. PLEASE ENSURE FULL MEDICAL

DISCLOSURE WHEN ENROLLING.

WAVER AND INDEMNITY, RISK AND LIABILITY 35. This section is a statement to inform you that there are potential risks involved when attending swim lessons. These risks are similar to the risks that a person would

be exposed to when visiting and using any similar swimming pool.

36. The participant/parents/guardians irrevocably waive and abandon all or any claim(s) which they or their legal representatives may have against the school, its directors,

employees, consultants, substitute instructors, contractors, authorised agents and/or representatives, arising from the injury, death or other harm of whatsoever

nature suffered by the participant (including any minor child) and/or any other person who drops off and/or collects anyone at the school either whilst on the premises

of the school or in connection with any activities on or off the school’s premises and/or travelling on foot or in any motor vehicle owned or operated by the school or

its aforesaid directors, employees, consultants, substitute instructors, contractors, authorised agents and/or representatives.

37. The Parties indemnify each other against any claims from third parties, which may arise as a result of their non-compliance with any provision of this Agreement, or any

negligent act or omission by that Party, its family members, directors, employees, consultants, substitute instructors, authorised agents and/or representatives.

38. The school will constantly endeavour to take such steps as may be reasonably required by the circumstances to do what it can to keep participants out of harm, and free

from loss, taking into account what can be reasonably foreseen and provided for in each case.

NOTICES & COMMUNICATION 39. Most communication will be via notices in the viewing room, bulk communication sent with monthly invoices, WhatsApp broadcasts and/or notices on “Awesome Swim

School” Facebook page. It is your obligation to ensure that you have access thereto and that you check regularly to remain informed on news and school

communication. Should this be out of the question, alternative channels can be requested in writing.

40. It is your obligation to check and verify your details on your invoices on a monthly basis and inform us of any change, especially of your e-mail address. YOU EXPRESSLY

ACKNOWLEDGE AND AGREE THAT it is your responsibility to report immediately in writing if you do not receive your monthly invoice from the second month after

joining the swim school and to check and verify your details monthly before the scheduled payment date.

41. All complaints, concerns or grievances must be submitted in writing on Form 4A per e-mail to info@awesomesentrum.co.za or handed in at the office. However, you

may communicate with the Director beforehand to inform the Director about your complaints, concerns or grievances and the Director (at the Director’s sole discretion)

may initially waive this requirement for written submission and try to clarify the issue, but may still at any stage during this process require a written submission on

Form 4A. The school will investigate the issue and inform you about the outcome of the investigation and the final decision of the Director as soon as possible taking

into account that an internal investigation and/or hearing may need to be completed first. The Director’s recommendations and decisions are final.

42. Please note that our Staff and Swim Instructors are under no circumstances allowed to send or receive calls and or messages/communicate from their private phones/e-

mails, but will respond to messages/e-mails that have been sent timeously to the school’s phone number 072 22 77 478 or e-mail address

Info@AwesomeSentrum.co.za (answer on mails may be delayed up to 1 week due to nature of our work).

43. In exceptional circumstances, a locum swim instructor will be arranged in the event that the usual instructor cannot perform the lesson him-/herself due to illness or

absence.

POOL ETIQUETTE 44. Please attend lessons regularly, arrive on time and let us know well in advance if lessons will not be attended.

45. Dress code for boys is tight-fitting swimming trunks and for girls a full coverage swim-suit (can be worn with short ski-pants). Please no baggies, or bikinis. Remove all

jewelry and tie hair back. Swimming caps are compulsory.

46. Let’s practice healthy swimming behaviour to ensure prevention of recreational water illness a. Please encourage participants to go to the toilet before starting the lesson and teach them to not urinate in the pool;

b. Please encourage participants to blow their noses before the lesson;

c. Do not spit in the water - keeping our pool clean protects everyone!

d. No chewing gum, food or sweets to be eaten whilst in the pool;

e. All children under the age of three and/or not yet potty-trained must wear a fitted swim nappy while swimming.

f. No swimming is allowed in case of Skin or Eye infection, Diarrhea, Gastric Flu, Flu, Active Infection, Green Mucus, Open Wounds and/or Bleeding.

g. Inform the instructor if the participant is on medication and provide the necessary medication (i.e. asthma pump) enclosed in a plastic bag for safekeeping during lesson.

h. Based on the Child Protection Act we have a No Photography Policy. You are informed that Clients are prohibited from taking photos/cell phone pictures/videos during

lessons. Request for an opportunity to do this for your child may be submitted and will be granted as long as it will not be disruptive to the class/instruction/other

clients.

47. Let’s practice safe swimming behaviour to ensure Water Safety: a. No running on pool deck;

b. No fooling around / horse play in and around the pool area;

c. No pushing, hitting or biting of anyone;

d. No entering the water before instructor has given the instruction;

e. Get out of the pool immediately at the end of the lesson or if instructed to do so!

f. Nobody is allowed in the pool area if an instructor or caregiver is not present;

g. Parents should please support instructors when they take action to maintain discipline in the pool;

h. No biting or chewing on pool equipment – let’s treat it with respect.

i. Wearing swim caps are compulsory for both male and female swimmers, irrespective of age. Fabric swim caps & Lycra swim caps are available from the school @

R60.00 (cash payment only). We are proud to say that we supply Swimma caps for long hair priced from R200.00 to R260.00 a cap. We do not provide “loan” caps,

neither do we provide caps on credit. Should a swimmer continually arrive without the necessary swim cap, they might forfeit that lesson.

48. Swim nappies can be purchased for emergencies @ R30.00 per nappy (cash payments only) and the school does not prescribe to a “use now, pay later” policy.

49. No parents or other persons are allowed in the pool area during lessons. Parents may watch the lesson from the viewing room or from the glass doors only. Please do

not sit in the pool room while lessons are in progress except when you are invited to do this.

50. It is the parents’ responsibility to watch their children at all times before & after their lessons. Accidents happen quickly and safety should be our main concern.

Instructors / and assistants will not be held responsible for supervising children outside of their lesson times.

51. Please ensure that the property of the school (chairs, doors, walls, windows, toys, carpets, etc.) are not toyed with by siblings or participants while waiting. We try to

keep our school neat and presentable but cannot afford to replace broken furniture every term. Furniture are there for providing seating, not climbing, jumping, or

building obstacle courses.

52. There is to be NO running around, or unassisted diving or jumping into the pool.

53. There will be a 5 minute parent/instructor handover time at the beginning of each lesson when deemed necessary. Please keep your instruction/request/message short

and sweet. Any other (long) discussions should be submitted in writing to info@AwesomeSentrum.co.za or done via messaging.

54. Participants should please wait before entering the poolside area until called and/or the previous class has exited the area.

55. Please ensure that your child leaves the pool area as soon as exiting the pool: i.e. not to disturb and/or infringe on the next class’s lesson time.

56. Please refrain from entering the pool area or disturbing the instructor during the lesson. This is for obvious Health & Safety reasons.

57. Equipment must be treated with respect. Any equipment that is misused and this results in the equipment being broken or damaged will be charged for. 58. No parking in front of the gate. Please consider the neighbours and park in the designated parking areas or on the school premises.

Statement of Account Responsibility (Person responsible for payment of the Account (Payer))

I _____________________________________________ the BILLING CONTACT of _________________________________ (swimmer), grant

permission for my child to participate in swimming lessons and in return agree to make full payment for all lessons, and understand all the

terms indicated above and that all fees due, including arrears and collection fees, will be collected from me. In the event of my account being

in arrears, interest will be charged on the full outstanding amount and the swim school has the right to charge an additional admin fee. I

understand that I enroll for a minimum period of six months and that this agreement will be renewed on a month to month basis. I herewith

declare the provided details to be accurate and true. I understand that I have a responsibility to convey any changes/additions to this

information, timeously and in writing.

Also, I have read and understood the terms and conditions on this page.

SIGNED _______________________________ PRINT __________________________________ DATE _____________________Page 3 of 3

APPLICATION DATE: _________________ EXT. DATE: ___________________ COMMENCEMENT DATE ________________

OFFICE USE: Allocated Slots: ____________________________________________________________________

ENROLMENT FORM (3 Pages)

Awesome Swim School Enrolment Agreement V1Jul19 I have read and understood the terms and conditions on this page:

.................................................... SIGNATURE

PAGE 1 of 3

Office Use Only

Phone SCN EB ASS

Medic & File

Pend/Initial/Final

T C Slot Allocated C

Acc. Letter

Pmt Rec C E

Cntr LOAD E F S

PERSON RESPONSIBLE FOR PAYMENT OF ACCOUNT

PAYER/ACCOUNT HOLDER (Tick applicable description) Wife Mother Female Guardian

Name Nickname

Surname

Employer ID Number Age

Cell Number Landline Contact No.

E-mail 1

1(Account)

E-mail 2

(Additional)

Postal Address

Code Code

IN CASE OF CHILD OR DEPENDENT - PLEASE ALSO COMPLETE:

PARENT 1 (Tick applicable description) As Above Mother Female Guardian

Name Nickname

Surname

Employer ID Number Age

Cell Number Landline Contact No.

E-mail

PARENT 2 (Tick applicable description) As Above Father Male Guardian

Name Nickname

Surname

Employer ID Number Age

Cell Number Landline Contact No.

E-mail

NEXT OF KIN

Cell Number Landline Contact No.

E-Mail:

Awesome Swim School Enrolment Agreement V1 Jul19 I have read and understood the terms and conditions on this page:

.................................................... SIGNATURE PAGE 2 of 3

MEDICAL INFORMATION : PLEASE COMPLETE COMPREHENSIVELY

Family Doctor Name Phone Number

Allergies (particularly bee sting, penicillin, chlorine)

1 Medical Information Ear Disorder, state

2 Epilepsy Mild / Severe / Medication, state

3 Fainting / Dizzy spells or sudden loss of consciousness, state

Chronic Illness Physical Impairment Special Need

Chronic Illness

Medical Aid Name Main Member Name Membership Number

EMERGENCY CONTACT DETAILS – Please provide at least 2 alternatives to parents/guardians

Name & Surname Relationship

Contact Number

1

2

OTHER SPECIAL CONDITIONS AND INSTRUCTIONS:

I herewith consent and give authority to the Swim School or representative to take this action if medical treatment or assistance is needed. I understand that any costs occurred, will be for my account.

I herewith declare the provided details to be accurate and true. I understand that I have a responsibility to convey any changes/additions to this information, timeously and in writing.

SIGNED __________________________ PRINT __________________________ DATE ________________

Children photograph/video permission (Optional) (For the parent, guardian or care giver of a child/young person under the age of 18) Consent I would be grateful if you would consider filling in this form to give me permission to take photos of your child if the need ever arises. This will only happen with your knowledge, you may be provided with a copy of the material and I might use some of these in our printed material (info pamphlet/brochure) and/or website (School or Swimming publicity) to brag! Location of photograph: 83 Panorama Road, Rooihuiskraal Centurion, 083 302 8930

I understand that the school’s designated photographer is taking photographs / video of my child to document their progression and to help promote her method of swim teaching and the swim school’s services. This form is valid for a minimum period of ten years from the date of signing. I herewith permit her to:

➢ Use the images resulting from the photography/video filming, and any reproductions or sections of the images for fundraising, publicity or other purposes to help achieve the promotion of swimming and her teaching school’s aims. This might include (but is not limited to), the right to use photographs and/or video material in their printed and website/online publicity, social media, press releases and funding applications, to advertise swimming and/or the teaching of swimming and water safety skills to children.

➢ Estelle Brenkman declares that she will not include contact details and/or names of the participants, and will not use any compromising photographs or video material. All material will be used with this document as written consent.

Consent Signatures:

PARENT: SIGN:: DATE ID number:

Parent 1/Guardian

Parent 2 / Guardian

Awesome Swim School Enrolment Agreement VJun19I have read and understood the terms and conditions on this page:

V1 Jul2019 .................................................... SIGNATURE

PAGE 3 of 3

SWIMMING PARTICIPANT(S) INFORMATION

PARTICIPANT 1 INFORMATION

Name Nickname

Surname

Birthdate / / ID Number Gender Age

SERVICE REQUEST * *In order for us to allocate slots that suit you best, please state clearly but do not limit yourself to 1 time slot or day. Please provide an alternative.

Classes per week

_____ x per week

Which Days 1st choice: _________________ 2nd choice: _________________

Anytime between _______ & ________ _______ & ________

Adult LTS Kids LTS Baby LTS Aqua/Watsu/Hydro

PARTICIPANT 2 INFORMATION (if applicable)

Name Nickname

Surname

Birthdate / / / ID Number Gender Age

SERVICE REQUEST * Please Indicate

Classes per week _____ x per week

Which Days 1st choice: _________________ 2nd choice: _________________

Anytime between _______ & ________ _______ & ________

Adult LTS Kids LTS Baby LTS Aqua/Watsu/Hydro

PARTICIPANT 3 INFORMATION (if applicable)

Name Nickname

Surname

Birthdate / / ID Number Gender Age

SERVICE REQUEST * Please Indicate

Classes per week _____ x per week

Which Days 1st choice: _________________ 2nd choice: _________________

Anytime between _______ & ________ _______ & ________

Adult LTS Kids LTS Baby LTS Aqua/Watsu/Hydro

PREVIOUS SWIMMING EXPERIENCES Please provide us with a brief history, it might be to the participant’s advantage.

Previous Swim School

Swim Period Level Obtained

Swim Level Completed Swim Ability

Details of previous unpleasant

swimming experiences

Special Requests / Instruction

Anything else we need to know?

FOR OFFICE USE ONLY – APPLICATION RECEIVED BY _________________________ ON ___ /___ 20____

Spec Conditions / Invoice Details:

FIRST LESSON HISTORY:

AWESOME AFTERCARE SUBCONTRACTOR Transport SERVICE REQUEST

FOR TRANSPORTATION TO AND FROM 83 Panorama Road, Rooihuiskraal, Centurion, 0146

A. I / We _________________________________________________________ (Parent / Guardian), with ID number

__________________________________________, am the parent / legal guardian of

_________________________________________________ (Childs name), a minor child of age

____________________, born ______________________________________ (YYMMDD).

I / We ACKNOWLEDGE THAT it is with my knowledge, consent and upon my request that Awesome Centre has

allocated a specific transport subcontractor, to transport my/our child(ren) to and from the premises as above for

the purpose of Swim Lessons/Tutoring Lessons/Aftercare Services.

I further state that I understand that this service will be offered at an additional monthly cost of _______ (4 x

pm) and ______ (8 x pm) to me, OR as per NURSERY SCHOOL INCLUDED PACKAGE as quoted by Awesome

Sentrum/Swim School.*

(*Prices subject to change due to fuel increase: notice will be given in advance of being effective.)

B. Pick-up Details:

____________________________________________________________________ (School/Place/Person)

____________________________________ (Address of School) __________________ Contact Person at Pick up)

C. Drop-Off Details:

Awesome Centre (see address above) AS PER AGREED SWIM SLOT

TO COMMENCE at __________ AND END AT ________ ON _________ (DAYS 1)

TO COMMENCE at __________ AND END AT ________ ON _________ (DAYS 2)

D. Service Details:

One-Way service, at ____________ per trip / per month; (scratch which does not apply)

Two-Way service, at____________ per trip / per month; (scratch which does not apply)

I am aware that this price may be revised, depending on petrol increases and that this may be adapted with

notice when required.

TERMS AND CONDITIONS:

✓ It is the responsibility of the parent / guardian to inform Awesome Centre well in advance if the child should not be

picked up due to absence from school/pick-up point.

✓ I agree to pay a monthly transport charge as stated above, which will be payable with swimming fees as quoted before

the 1st of each calendar month, for 12 months of the year, into Awesome Centre’s bank account.

✓ This agreement can be cancelled by either party at any time with a calendar month’s written notice to be handed in

at Awesome Centre or mailed to Info@AwesomeSentrum.co.za. Failure to give notice will automatically preclude full

payment of the notice month fee, and if payment is not received on or before the 3rd of the month, interest will be

charged at 10% of the outstanding balance.

✓ Please note that all payments shall be done electronically into the Awesome Centre’s bank account, or parents /

guardians are welcome to make cash payments at Awesome Centre (please insist on a receipt upon paying cash).

Further details applicable as supplied by me, the parent/guardian on attached Silver Fox Documents.

Please Note: NO PAYMENTS SHOULD make payment DIRECTLY TO THE TRANSPORT CONTRACTOR, AS HIS FEES ARE

PROVIDED AT A DISCOUNTED RATE TO AWESOME CENTRE/SENTRUM CLIENTS. By signing below, the undersigned Parent /

Guardian hereby acknowledges that he / she has read all the Terms and Conditions, Transporter indemnity and service modus

operandi and has voluntarily agreed to the same, without duress, and with full knowledge of the consequences thereof and

warrants full authority to agree to the same including but not limited to, on behalf of the Minor.

Subscribed and submitted to Awesome Centre/Sentrum before me on this _______ day of _______________________ 2018.

_________________________________ ______________ ____________________________

Signature of Parent / Guardian 1 Date Print name of Parent / Guardian 2

Awesome Representative: _______________________ Date: __________AC_Vorms_TransportV2AUGUST2019