Indemnity Form 2019

I, *
the under signed parent and/ or legal guardian of the minor child *
do hereby indemnify Winning Ways Sports Academy, the owner(s) of the coaching venue and all coaches, assistants, managers, partners, teachers, principals, committee members and/or body corporate from any injuries, accidents and/or loss of or breakage to any personal property on any of the above mentioned schools grounds during the coaching sessions. I confirm that my child’s participation in the Winning Ways Sports Academy and all related activities is entirely voluntary and I accept all risks involved therein. Accordingly, the Winning Ways Sports Academy and/or any of their respective employees or partners mentioned above shall not be liable for any loss, damage, injury or illness of whatsoever nature and howsoever caused or suffered by me (to my person or property) or my child as a result of, directly or indirectly, attending the Winning Ways Sports Academy before, during or after any of the sessions.Agreed at the time of and date of *
on the day *
for 2019. Parent/Gaurdian full name: *
Select Activity
Athletics : Type:
Development (Super Strides)
Running Academy
High jump
Long Jump
Shot Put
Holiday Clinic (23 to 26 September)
Term 1
Term 2
Term 3
Term 4
Whole Year
Hockey : Type:
Development (Super Sticks)
Thursday Academy Group
Friday Academy Group
Saturday Academy Group
Term 1
Term 2
Term 3
Term 4
Whole Year
School Name  : *
Title  :
Identity Number  : *
Physical Address  : *
Contact number:  : *
Alternative Emergency Number:  :
Your Email  : *
Hockey Transport Required (High Performance Academy only)?  :
Does your child have any allergies /physical disabilities or anything else that we should be aware of?  : *
Additional information  :
Apparel: (*At an additional cost of R140 / T-shirt included in registration fee for development programs)
Athletics T-shirt
Size: Quantity:
Hockey T-shirt
Size: Quantity:
Permission to use photographs of your child for Winning Ways promotional purposes:
Please complete the following  : *


Winning Ways
Bank: FNB
Branch & Code: Bayside (203809)
Account Type: Cheque
Account Number: 625 042 71347

Please use your child’s name and Hockey/Athletics as reference (eg – Christina Hockey) and email proof of payment to
Kindly note that you will receive an email to confirm that your form was successfully submitted.
Once successfully registered, you will receive an emailing stating successful registration.