PRETORIA MARTIAL ARTS

Affiliated to International Judo Federation,

Judo South AfricaN Gauteng Judo Association

INTERNATIONAL SCHOOL – 4 TERMS

PERSONAL DETAILS (PLEASE PRINT)– ALL INFORMATION IS REQUIRED TO COMPLETE REGISTRATION

NAME OF STUDENT / SURNAME OF STUDENT
DATE OF BIRTH OF STUDENT / ID NUMBER OF STUDENT
MEDICAL HISTORY / POSTAL ADDRESS
RESIDENTIAL ADDRESS / POSTAL CODE
SCHOOL THAT STUDENT ATTENDS / DATE JOINED JUDO (YEAR/MONTH/DAY)
TEL NUMBER HOME / MOBILE NUMBER STUDENT
MOBILE NUMBER FATHER / MOBILE NUMBER MOTHER
TEL NUMBER FATHER WORK / TEL NUMBER MOTHER WORK
ADDITIONAL DETAILS OF PARENTS / GUARDIANS (PLEASE PRINT)
NAME AND SURNAME OF FATHER / NAME AND SURNAME OF MOTHER
ID NR (FATHER) / ID NR (MOTHER)
E-MAIL ADDRESS
APPROVING SIGNATURE OF PARENT / GUARDIAN / NAME OF APPROVING PARTY
FEES
CLUB AFFILIATION / R150 PER YEAR – Required for participation in PMA related activities
NATIONAL AND PROVINCIAL REGISTRATION / AS INDICATED ON ACCOUNT (IF APPLICABLE)
FIRST CHILD / R625 PER TERM
SECOND CHILD / R575PER TERM
THIRD CHILD AND OVER / R375 PER TERM
Please note that fees increase by approximately 10% in July of each year.
  1. I HEREBY GIVE PERMISSION FOR MY CHILD TO PARTICIPATE IN JUDO LESSONS.
  2. I ABSOLVE THE EMPLOYEES OF PRETORIA MARTIAL ARTS (PMA) FROM ANY RESPONSIBILITY WHATSOEVER SHOULD MY CHILD SUSTAIN AN INJURY DURING ANY JUDO EVENT, OR AT ANY OTHER TIME, INCLUDING TRANSPORT TO AND FROM JUDO, EXCEPT IN THE CASE OF NEGLIGENCE ON BEHALF OF THE PMA EMPLOYEES.
  3. I AGREE THAT TERM FEES WILL BE PAID WITHIN THE FIRST TWO WEEKS OF EACH NEW SCHOOL TERM AND TAKE NOTE THAT AN ADMIN FEE OF R50 WILL BE LEVIED PER CHILD PER TERM ON LATE PAYMENTS.
  4. I TAKE NOTE THAT FEES MAY INCREASE YEARLY.
  5. I TAKE NOTE THAT A R150 NOTICE PERIOD FEE IS APPLICABLE SHOULD WE DECIDE TO STOP JUDO.
  6. I TAKE NOTE THAT ALL FEES ARE PAYABLE DURING THE NOTICE PERIOD.
  7. I TAKE NOTE THAT UPON THE THIRD REQUEST TO SETTLE OVERDUE ACCOUNTS, ACCOUNTS MAY BE HANDED OVER TO DEBT COLLECTORS FOR COLLECTION.
  8. I ACCEPT RESPONSIBLITIY FOR ALL COSTS THAT THE MEMBERS OF PRETORIA MARTIAL ARTS AND THE DEBT COLLECTORS WILL CHARGE CONCERNING THE COLLECTION OF OVERDUE FEES.
  9. I TAKE NOTE THAT CONTRACTS ARE ONGOING, REGARDLESS OF THE YEAR OF JOINING, UNTIL I GIVE NOTICE IN WRITING.

HEAD INSTRUCTOR: LOUIS NOLTE (MPhil: Sport Science) – 4TH DAN