Enrollment Form

School Information

* Name of school

* Teacher Name

Parent / Guardian Information

* Name		* Surname
Tel (Work)		* Tel (Cell)
* Email

Child Information

* Name		* Surname
* Birthdate		* Boy / Girl	Boy Girl
* T-Shirt Size	3-4 Years 5-6 Years 7-8 Years

Health Disclosure

Children enrolled in the Stretch-n-grow programme will participate in one fitness session per week. The exercise portion, which is approximately 30 minutes per session, will consist of a warm-up, stretching, floor exercises and aerobic activity, all designed for young children. Please describe below any injuries or health problems which might limit your child's participation:

Tuition and payment options

Tuition per term: R440
Two payments per term by arrangement, R220 each (first payment in week one and second payment by no later than week four of each term)
There is NO registration fee and should the coach miss a class, this will be deducted from the following invoice.

Invoices are sent out in the first week of the new term and payment is due by the second lesson of the new term
In the event of cancellation, one month's written and paid notice is required

BANK DETAILS

(please include your child's name, surname and school as a reference):
Wellness4Kids Pty Ltd
Bank: First National Bank
Branch: Cape Gate 251945
Account Number: 6249 3805 645 (Cheque Account)

General

Occasionally photographs or videos of classes are used for local and national marketing purposes

If you do not want your child's photograph / video used, please send an email to elizma@stretch-n-grow.com with your child's name

Note: Names are not disclosed without specific parental permission

Terms and Conditions

I understand that Stretch-n-grow is a voluntary enrichment programme, I agree to pay for my child's participation regardless of absences and I understand that my child will only participate when the tuition fee has been paid. As the parent of legal guardian of the aforementioned minor, I do hereby agree that I will not hold Stretch-n-grow of Northern Suburbs, Its staff and volunteer assistants or coaches responsible for any illness, injury, damage or loss incurred by the aforementioned minor during the programme.