Affiliated School Enrolment Forms

Affiliated School Enrolment Form

Package Information

Please choose your activitie: Required

Swimming R580 per month

Martial Arts R560 per month

Both Swimming and Martial Arts at R1020 per month

Student Information

School Name: Required

Student: First Name Required

Student: Last Name: Required

Student Date of Birth: Required

Student: Gender Required

Previous swimming Experience

Has your child had swimming lessons before? Required

If yes please provide the following information:

School Name:

For how long:

Has your child had a bad water experience? Required

If yes please provide details:

Emergency Information

Emergency Contact 1 (ICE 1)

ICE 1: Relationship to Student Required

ICE 1: First Name Required

ICE 1: Last Name Required

ICE1: Phone Number: Required

Emergency Contact 2 (ICE 2)

ICE 2:Relationship to student Required

ICE 2: First Name Required

ICE 2: Last Name Required

ICE 2: Phone Number: Required

Medical Information

Does your child have any medical conditions or allergies? Required

If yes please provide details:

Is your child on medical aid? Required

If yes please provide details:

Name of medical aid:

Medical aid number:

Primary Contact

Primary Contact: Relationship to student Required

Primary Contact: Title: Required

Primary Contact: First Name: Required

Primary Contact: Last Name Required

Primary Contact: Date of Birth Required

Primary Contact: ID / Passport Number Required

Primary Contact: Phone Number: Required

Primary Contact: E-mail Address: Required

Account Payer Information

Account Payer: Relationship to student: Required

Account Payer: Title Required

Account Payer: First Name: Required

Account Payer: Last Name: Required

Account Payer: Date of Birth: Required

Account Payer: Phone number: Required

Account Payer: E-mail Address: Required

Account Payer: Country of Residence: Required

Account Payer: ID / Passport Number: Required

Account Payer: Physical Address: Required

Address 1

Address 2

City

Country

State/Province

Postal Code

Province Required

Employment Information

Company Name: Required

Work Phone number: Required

Work Email Address: Required

Terms and Conditions

Fees

I agree that fees must be paid in advance for the month or per lesson. (UPFRONT)

I understand that fees are calculated on a monthly basis, and should I join in the middle of the month I will be billed pro-rata until the new month, where I will automatically be moved over to our monthly or per lesson rate as per my chosen option

I understand that a once of is non-refundable registration fee of R200 per person or R450 (3 or more immediate family members)per family is charged when I join.

I hereby agree to pay all fees due to National Aquatic and Physical Institute on time on or before the 1st of every month.

I understand that fees are loaded on my account every month on the 25TH, for the new month – and I have until the 1^st of the following month to pay.

Late or non-payments:

I understand that non- Payment by the 3rd of the month with no communication will result in account suspension until accounts are settled or the 7^th of the month

I understand that, should payment not be received by the 1^st without communication, the swimmer/s will not be allowed to enter the pool until their account has been settled and a fees have been received

I understand that late payment can result in me losing my booked slot, and are not guaranteed to be available even after areas have been settled, resulting in me having to book new available slots

I understand that lessons missed due to nonpayment cannot be made up

I understand that lessons will be terminated with immediate effect if fees are not paid on or by the 7th of the month without communication and I will still be held accountable for that month fees.

I understand that Non-payment is not a form of notice, and that a one calendar months’ notice is required in writing via email for my account to be cancelled

I understand that Non-payment will result in my account being handed over for collection and that I will be listed as a default payer on the National Defaulter Database of the Credit Bureaus.

I understand and agree to pay all charges, including legal fees on the attorney-and-client scale, which may arise in the event that legal or other action is taken by NAPI to recover any fees due, including but not restricted to collection commission whether action is commenced or not.

Refunds

I understand that NAPI does not give any refunds for lessons missed or cancellation of membership as once calendar month notice must be given

Increases:
I understand that National Aquatic and Physical Institute reserve the right to increase fees annually by 1St August OR when deemed necessary .

I understand and accept that contract will continue with increased fees if official email was not sent via email or in writing giving a one calendar month notice in advance .

Payment methods:
I understand that payments can be made via EFTs, card payments or debit orders – NO Cash is accepted

Stock, grading and competition fees
I understand that stock purchased needs to be paid immediately

I understand that grading and/ or competition and /or gala fees are charged and paid separately and does not form part of the monthly fee

I understand that grading and/ or competition and / or gala fees may be charged by a third party and must then be paid directly to the third party

I hereby agree to all the above fees terms and conditions and understand that it is my responsibility to check my account via the Parent Portal and to make sure that fees are up to date.

Cancellation of membership

I understand and agree to give a one calendar month notice in writing through NAPI cancelation form and/ or system if I wish to cancel my membership.

I understand that this form can be acquired via reception, or on the website, or I can request a from via email at accounts@napi.co.za

I understand and accept that cancellations must be given on or before the 3rd of the month for the cancellation to take effect by the end of that month

I understand and accept that notice given after the 3^rd will only take effect at the end of the following month

I understand that notice can not be given for December or January after October and that fees are still due

I understand that if I cancel my membership, to request a debit order cancellation from in the event of me having a debit order.

Missed lessons

I understand that if my child has missed their lesson due to any reason it can not be made up

POPI ACT POLICY

I understand that the Protection of Personal Information Act, (Act 4 of 2013) (POPIA) gives effect to the constitutional right to privacy, regulates the manner in which personal information may be processed, and provides rights and remedies to protect personal information.

I understand that NAPI is fully complies with this act.

Lost Property

I understand that it is my responsibility to take care of my things and cannot hold NAPI or Graceland’s responsible for lost or stolen property.

I understand that lost property that is found will be kept for 3 months, goods not claimed during this period will be donated.

Sick policy

I understand that if I or my child have a contagious disease e.g. Flu, covid, conjunctivitis (pink eye), tonsilitis, bronchitis, gastro / tummy bug, ringworm or any other disease listed on NATIONAL HEALTH ACT, 2003 (ACT NO. 61 OF 2003)REGULATIONS REGARDING COMMUNICABLE DISEASES are not allowed to participate.

I understand that hay-fever, postnasal drip or allergies etc. are not contagious, and lessons will continue as per normal

Water temperature

I understand that water is heated and kept between 28C’ – 32C’ depending on the season, weather and electricity supply.

I understand that if water temperature drops below 26C’ for whatever reason, I will be informed and may choose to do a makeup class or continue my lesson as scheduled.

Lightening Policy

I understand that it is not safe to be in the water if lightning in is less then 10km from the pool.

I understand that NAPI uses a LIGHTNING ALARM APP and when lightning strikes within 5km away we must evacuate the water until such time as the storm has safely passed.

I understand that I get 1 make up lesson in the event of a missed lesson for lightning provided that I was present at facility for the lesson but could not climb in or had to evacuate the pool for more than 15min of the lesson.

I understand that if less than 15min of the lessons is missed the lesson will run over, and no makeup lessons will be given.

Dress code

Full swimming costumes no bikini

I understand that swimming caps are compulsory during the lesson for hygiene purposes and to stop hair from obstructing my vision and breathing during a lesson (not necessary for shaved hair)

I understand that swimming goggles are preferred to protect eyes from long water exposure and have clearer vision under the water.

I understand that my child can use earplugs or other means if myself or my child has gromets or other medical conditions to keep water out of their ears.

I understand that my child cannot swim with a hearing aid unless the manufacturer states that the device is safe for swimming, or IPX certified for swimming.

I understand that no sharing of swimming towels or costumes are allowed

I have read, understand and agree to the above terms, coditions, liability clauses as set out above. a Copy can be found at napi.co.za Required

I Accept

RELEASE OF LIABILITY, WAIVER OF CLAIMS, ASSUMPTION OF RISKS AND INDEMNITY AGREEMENT

1. ACKNOWLEDGEMENT OF RISKS:

I understand, recognises and accept that there are risks associated with participation in the Activities including, but not limited to, bodily injury or death to persons and damage to property.

I understand that although every precaution necessary will be taken to prevent accidents, neither National Aquatic Proficiency Institute nor Graceland’s Water park nor any of its employees, agents, guests, facilitators or anyone acting on its behalf shall be held liable for any injury, be it physical, emotional or psychological or howsoever caused to myself, child or anyone else in my care.

RELEASE OF LIABILITY, WAIVER OF CLAIMS, ASSUMPTION OF RISKS AND INDEMNITY

AGREEMENT

DISCLAIMER CLAUSE

I agree that the National Aquatic and Physical Institute, Graceland’s Water Park, their agents, officers, directors, employees, volunteers, guests or facilitators by any other third party and representatives (hereafter referred to as “NAPI”), are not responsible for any death, illness, injury, loss or damage of any kind sustained by any person or student while I or my child or any person in my care are participating in the activities or waiting on the property, and all related activities, caused in any manner whatsoever.

DESCRIPTION OF RISKS( but not limited to)

I acknowledge that I am aware of the possible risks, dangers and hazards associated participating in the Activities and all related Activities offered, including the possible risk of severe or fatal injury to others or myself. These risks include, but are not limited to:

1. TRAVEL: the risks associated with travel and all related activities including transport by public or private motor vehicle, buses, aircraft, etc.

2. WEATHER: any injury, illness, death, loss or damage resulting from exposure to weather elements; and/or

3. PHYSICAL: physical injuries such as muscular injuries, bruises, scrapes, cuts, sprains, dislocations,

broken bones, and head, facial or dental injuries which might result from an accidental injury; illness resulting from parasites: and the possibilities of physical confrontations whether caused by myself or some other person or persons resulting in injuries and/or death.

I accept and assume all such risks, dangers and hazards and the possibility of personal injury, death,

permanent disability, property damage or loss resulting thereof.

RELEASE OF LIABILITY, WAIVER OF CLAIMS AND INDEMNITY

In consideration of NAPI allowing me to participate in the Activities and all related activities, I agree as

follows;

1.TO WAIVE ANY AND ALL CLAIMS that I have or may have against NAPI, and their members, officers,

employees, students, agents and independent contractors as a result of my participation in the Activates and or all related activities;

2.TO RELEASE NAPI from any and all liability from any loss, damage, injury or expense that I may suffer, or that my next of kin may suffer as a result of my participation in the Activates and all related activities due to any cause whatsoever;

3.TO INDEMNIFY AND HOLD HARMLESS NAPI from any and all liability for any damage including

consequential damages to the property of NAPI, Graceland’s, or personal injury to, any third party, resulting from my participation in the Activates and all related activities;

4. IN ENTERING INTO THIS AGREEMENT, I am not relying upon any oral or written representations or statements made by NAPI other than what is set forth in this agreement.

5. I further acknowledges and understands that I can and will be held liable and responsible for any and all damage to persons, livestock, vehicles, NAPI or Graceland’s property and/or improvements to NAPI/ Graceland’s property that is caused by myself and/or any persons (including, but not limited to, minors) under my care and control, and that arise out of, or are related to entry into and participation in the Activities.

I have read, understand and agree to the RELEASE OF LIABILITY, WAIVER OF CLAIMS, ASSUMPTION OF RISKS AND INDEMNITY AGREEMENT above, and acknowledges receipt of this Agreement. Required

I Accept and Agree