ENTRY FORM. ( only 50 entries are available for the day) COST: R 150 per entry (father & son) TIME: 08H00-12H00 Registration: 07H00-07H45

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Martina Stewart
5 years ago
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1 FATHER & SON 22 March 2014 in support of CANAAN CARE CENTRE ENTRY FORM ( only 50 entries are available for the day) COST: R 150 per entry (father & son) TIME: 08H00-12H00 Registration: 07H00-07H45 OPTION 1: Print and complete form and indemnities, then fax entry, indemnity and proof of payment to OPTION 2: Send entry information and proof of payment to reception@lilyfontein.co.za. Indemnities will be signed on 22 March Team Name: Father s Name: Son s Name: Son s Age: Contact No.: (No boys over the age of 12 may participate in this event) Emergency Contact Name: Emergency Contact No: Banking Details: Account Name: Lilyfontein School Reference: Surname and Event Bank: FNB Account No.: Branch No.:

2 FATHER AND SON DAY The day will consist of endless fun activities where you and your son will work together physically, mentally and creatively. The activities have been designed so that even the smallest of munchkins can participate. The activities will be run in a rotation style so that every team gets to participate in every activity; there will be no waiting at any activity. The activities are all different so you may have a less strenuous activity followed by a physically challenging one (note: we are talking about the push-up kind of strenuous activity and not the lifting dumbbells kind!!) Half-way through the activities you will receive refreshment, but the tuckshop will also be open selling boerewors rolls, cooldrinks and other goodies that you and your supporters can purchase. The day s activities will start at 08H00 and end at 11H30. The prizegiving will end at 12H00. Wear OLD clothes and LOTS of sun screen. Bring a WATER BOTTLE a TOWEL or EXTRA CHANGE of CLOTHES (just in case!!!!)

3 LILYFONTEIN SCHOOL INDEMNITY 2014: Parent/Guardian please sign this to enable your child to participate CHILD S SURNAME: GRADE: FIRST NAME: I hereby give permission for my child, (name) to participate in activities organized by Lilyfontein School. These activities include, but are not limited to the following: Adventure type activities, Adventure courses run by the school, Mountain Biking, Tubing, Canoeing, Rock Climbing, Abseiling, Hiking, Horse Riding, Swimming/Paddling, Obstacle courses, Kloofing, High Ropes Courses, Class Outings and Sporting tours. These activities also include school transportation where necessary. can be physically challenging. I confirm that my child is physically well and fit and is able to participate in exercise of this nature without undue risk to his/her health. Should my child be unwell shortly before or on the day of the sporting or adventure activity, I undertake to take responsibility for ensuring that he/she will not participate. arising which may result from any accident or injury to my child or to his/her sports Signed at (place) on (date) (Signature: Parent) Parents Contact Numbers Father Cell: Home: Mother Cell: Home:

4 LILYFONTEIN SCHOOL INDEMNITY 2014 Fathers please sign this one. PARTICIPANT S SURNAME: FIRST NAME: I, (name) agree to participate in activities organized by Lilyfontein School. These activities include, but are not limited to the following: Adventure type activities, Adventure courses run by the school, Mountain Biking, Tubing, Canoeing, Rock Climbing, Abseiling, Hiking, Horse Riding, Swimming/Paddling, Obstacle courses, Kloofing, High Ropes Courses, Class Outings and Sporting tours. These activities also include school transportation where necessary. can be physically challenging. I confirm that I am physically well and fit and am able to participate in exercise of this nature without undue risk to my health. Should I be unwell shortly before or on the day of the sporting or adventure activity, I undertake to take responsibility for ensuring that I will not participate. arising which may result from any accident or injury to myself or to my sports Signed at (place) on (date) (Signature)

5 LILYFONTEIN SCHOOL INDEMNITY 2014 Fathers please sign this one. PARTICIPANT S SURNAME: FIRST NAME: I, (name) agree to participate in activities organized by Lilyfontein School. These activities include, but are not limited to the following: Adventure type activities, Adventure courses run by the school, Mountain Biking, Tubing, Canoeing, Rock Climbing, Abseiling, Hiking, Horse Riding, Swimming/Paddling, Obstacle courses, Kloofing, High Ropes Courses, Class Outings and Sporting tours. These activities also include school transportation where necessary. can be physically challenging. I confirm that I am physically well and fit and am able to participate in exercise of this nature without undue risk to my health. Should I be unwell shortly before or on the day of the sporting or adventure activity, I undertake to take responsibility for ensuring that I will not participate. arising which may result from any accident or injury to myself or to my sports Signed at (place) on (date) (Signature)

6 LILYFONTEIN SCHOOL INDEMNITY 2014: Parent/Guardian please sign this to enable your child to participate CHILD S SURNAME: GRADE: FIRST NAME: I hereby give permission for my child, (name) to participate in activities organized by Lilyfontein School. These activities include, but are not limited to the following: Adventure type activities, Adventure courses run by the school, Mountain Biking, Tubing, Canoeing, Rock Climbing, Abseiling, Hiking, Horse Riding, Swimming/Paddling, Obstacle courses, Kloofing, High Ropes Courses, Class Outings and Sporting tours. These activities also include school transportation where necessary. can be physically challenging. I confirm that my child is physically well and fit and is able to participate in exercise of this nature without undue risk to his/her health. Should my child be unwell shortly before or on the day of the sporting or adventure activity, I undertake to take responsibility for ensuring that he/she will not participate. arising which may result from any accident or injury to my child or to his/her sports Signed at (place) on (date) (Signature: Parent) Parents Contact Numbers Father Cell: Home: Mother Cell: Home:

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