|
Written by Administrator
|
|
Friday, 08 August 2008 23:32 |
COMMUNITY SERVICE AT LORY PARK - INDEMNITY FORM | | |
| Date: | | | Date Attending: | | | | | | DETAILS OF CHILD | | | Surname: | | | First Name: | | | Date of Birth: | | | Physical Address: | | | | | | Home Tel No: | | | | | | DETAILS OF PARENT/LEGAL GUARDIAN | | | First Name: | | | Surname: | | | Relationship to child: | | | Home Tel No: | | Work Tel No: | | | Cell No: | | | E-mail: | | | | | | SCHOOL DETAILS | | | Name of School: | | | Tel No of School: | | | Teacher: | | | | |
| GENERAL IMPORTANT NOTES: | - A fee of R100 will be charged for every 8 hours of community service.
- Booking of Community Service Dates must be made 7 days in advance.
- Note that it is an 8 Hour day. STRICTLY FROM 07:30 TO 16:30. PLEASE BE ON TIME.
- Please supply own food/refreshments. (There is a tuckshop for crisps and cooldrinks).
Dress code: Note that it is not a fashion parade - old clothes please!! No Sandals - Only Boots or Takkies. NO CELL PHONES ALLOWED
| | Lory Park, owner, manager and its staff accept no responsibility for any theft, damage or injuries that are incurred while on these premises. | | I _____________________ the parent/guardian of ___________________ hereby give, _______________________ permission to participate in Community Service at Lory Park. | | ________________________________ ________________________ | | (Parent/Guardian Signature) Date |
|
|
Last Updated on Friday, 06 February 2009 10:19 |
