CHAIRPERSON: B Du PLESSIS
MARCH 03, 2018
GENERAL INFORMATION: HIGH SCHOOLS / LSEN
FOR ATTENTION:
PARENT(S) / GUARDIAN(S) /THE PRINCIPAL / EXECUTIVES AND TEAM MANAGEMENT
Dear Colleagues
Please find attached the provisional Western Cape High Schools Athletics Team that will participate at the South African Schools Athletics Track & Field Championships for High Schools to be held at the Mc Arthur Athletics Stadium, Potchefstroorm, North West Province on 21 - 24 March 2018.
It should be noted that the team will travel to Potchefstroom on the morning of Tuesday20March 2018.
Regions/ Schools have till Tuesday, 13 March 2018 at 12h00 to send any queries to The Secretary, Mr. Deon Wertheim [ ]. The final team will be resend to regions and schools on Tuesday, 13 March 2018 at 14h00.
Athletes who wish to travel on their own must duly apply in writing to the Secretary, Mr. Deon Wertheim [ ]. Team members not making use of team accommodation will subsequently be withdrawn from the competition. Athletes travelling on their own MUST report to the team on Wednesday 21 March at 14:00 at Raaswater in Potchefstroom.
No exceptions will be made.
DEPARTURES: Bellville Stadium 09H00
Community Hall, Paarl09H00
Worcester Mall11H00
Garden Route Mall, George15H00
Total Garage, Beaufort West20H00
Travelling with the team: R3600.00. Travelling on your own: R 2600. [Excluding attire ]
Monies must be paid in before or on Friday 24 March 2017.
ACCOUNT NAMEWESTERN CAPE SCHOOLS ATHLETICS
BANK:ABSA
BRANCH:334210 PAARL
ACCOUNT NUMBER:4059294250
REF:NAME OF ATHLETE
PLEASE MAIL PROOF OF PAYMENT TO:
CONDITIONS TO PARTICIPATE
The Western Cape Schools Team is selected with the expectation that all members of the team will perform at their best during the Championships.
If it becomes clear that the athlete do not have the same objective, the athlete will be withdrawn from the team with immediate effect.
Athletes that carry an injury or any form of sickness must withdraw from the team. Withdrawal must be by means of a medical certificate only.
The athlete must always carry a legal form of identification.
The conduct of all Members of the Team must be exemplary at all times and must adhere to general ethic values of society.
The rules of Team Management must be adhered to.
Team Management will have the right to conduct hearings for those who do not adhere to the rules of Team Management and the decisions will be binding.
No alcohol or any other illegal substances may be in the possession of a Team Member for the duration that the team is together.
Team Members are not allowed to smoke, drink alcohol or take in any illegal substance while wearing Western Cape Athletics gear. Team Members must at all times contribute to the team spirit.
Be punctual on all duties that must be adhered too.
The appearance of the Team, both collectively and individually, must be neat at all times. The wear of excessive jewelry or clothing that is not socially acceptable is not in the spirit of the sport and will not be tolerated.
Be cautious when taking in any fluids, substance, medicine that is not cleared by the Team Doctor.
The intake of any medicine prior to the team gathering must be declared. Athletes that used illegal medicines or substances prior to the Championships will be withdrawn from the team with immediate effect.
Athletes that take medicines prescribed by a doctor must be able to present the doctor’s prescription at all times during the competition.
Team Members must take responsibility over their own personal belongings. Team Management or the Western Cape Schools Athletics Structure will not be held accountable for any lost goods.
Members of the team that are found guilty of misconduct such as stealing, damage of property, any form of discrimination, intolerance against their fellow human beings, etc. will be withdrawn from the team with immediate effect and disciplinary action will follow later.
The interest of the team is always more important than that of the individual.
Due to practical reasons the team must remain together for the duration of the competition. Members of the team not adhering to this rule will be withdrawn from the team.
Yours truly
Clarence Combrinck
Vice Chairperson High Schools Western Cape
0827758910
CHAIRPERSON: B Du Plessis
MARCH 03, 2018
INDEMNITY FORM
I ______(Full name and surname of parent / guardian)
hereby give consent for my daughter / son ______(full name(s) and surname) to participate in the South African Schools Athletics Track & Field National Championships to be held at the McArthur Athletics Stadium.
I am aware that the WC Schools Athletics accept no responsibility for any loss, injury or damage that the person or property of my child may sustain whilst engage in any activity, and I waive my right that I have, in so far as I am able, and my child may have to claim compensation against SASA and WC organisers or other members in respect of any loss, injury or damage incurred whilst engaged in the Championship howsoever arising and whether as a result of negligence or otherwise and I indemnify them against all claims of such activity.
I am aware that the attendance at this excursion and the activities which may take place during this excursion may hold the possibility of physical injuries. I accept that all reasonable precautions will be undertaken to ensure the safety and welfare of my child.
To the best of my knowledge, my child is in good health and physically able to participate in the said Championship. I / We, as parent(s) / guardian(s), hereby give permission to the Team Management or their representatives, to authorize medical care / treatment should it be required for my child. I / We request the Team Management to note the following:
…………………………………………………………………………………………………………..Please mention information concerning your child’s health, allergies, etc. and / or activities in which he / she may participate.)
Signed at this ………………… day of March 2018 at ……………………………………..
Signature of Mother / Father / Guardian: ______Cell/Contact No:______
CHAIRPERSON: B Du Plessis
MARCH 03, 2018
MEDICAL QUESTIONNAIRE - LEARNER / EDUCATOR INFORMATION
NAME:______
SURNAME:______DOB______
NAME OF SCHOOL:______TEL: -______
NAME OF PARENT / GUARDIAN:______
HOME ADDRESS:______
HOME TELEPHONE:______WORK: ______
CELL PHONE:______
Do you belong to a Medical Aid?YES / NO
NAME OF FUND:______
MEDICAL AID NUMBER:______
FAMILY DOCTOR:______
Is your child allergic to any food?YES / NO
Is your child allergic to any medication?YES / NO
If yes, please give details: ______
Signature of Parent / Guardian: ______
MARK WITH AN X
FOOD REQUIREMENTS: / COSHER FOOD / HALAAL FOOD