NG Universiteitsoord

GREEN LEAF FIRST YEAR'S CAMP

DRC Universiteitsoord First year's camp: 3-5 March 2021
Cost: tba

Due to Covid-19 and the protocols pertaining thereto, the planning of this camp is tentative.

First years and senior students enroll here.

Green Leaf Camp 2021

I am:

Name:

Surname:

Sex:

Date of birth

ID Number (use this as reference when paying):

Cellphone number:

E-mail address:

Confirm e-mail:

Student number:

Field of study:

Street address:

Current church:

High School:

Medical aid:

Medical aid number:

Food allergies:

Other allergies or medical conditions:

Free Text

Information of parent or guardian

Parent 1 - Name:

Parent 2- Surname:

Parent 1 - Cellphone number:

Parent 1- E-mail:

Parent 2 - Name:

Parent 2 - Surname:

Parent 2 - Cellphone number:

Parent 2 - E-mail:

Residence:

Indemnity

I acknowledge that while Universiteitsoord Church always takes the utmost care in planning and execution of events of this nature, neither management, staff, agents organisers nor any other persons connected therewith will accept liability for any claims of whatsoever nature arising from any accident, injury, illness, loss of life or other loss howsoever sustained at any time and for any reason whatsoever whilst on this camp whether or not same can be attributed either directly or indirectly to the actions or omissions of such persons.

I hereby expressly waive and abandon any and all such claims of whatsoever nature which may at any time be made against such persons whether in my personal capacity or otherwise, and indemnity and hold such persons harmless in respect of any and all such claims that may howsoever arise or be instituted.

Where did you hear about the camp?

Free Text

Payment and confirmation:

You will receive an e-mail to confirm that your enrollment has been received. We will also send an e-mail as soon as your payment has been received and allocated.

Please make payment to:

Account holder: NG Universiteitsoord

Bank: Absa (Cheque)

Account number: 4048753588

Branch code: 335345

Reference: ID Number

Please send proof of payment to: admin@universiteitsoord.co.za

DIENSTYE

Oggend: 09:30

Aand: 19:00

KONTAK ONS

066 408 0909

kantoor@universiteitsoord.co.za

FISIESE ADRES

NG Universiteitsoord,

Duxburyweg 105,

Hillcrest, Pretoria, 0083