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NATIONAL ZOOLOGICAL GARDENS OF SOUTH AFRICA
Holiday Courses
March – April 2015
Name and surname: _________________________________________________________________________________
Postal address: _______________________________________________________ Code: ________________________
Contact person: _______________________________ Tel: _____________________ Fax: _______________________
Age: _________ Grade: _______ School: _____________________________________ Tel: ______________________
Where did you hear about the course: _________________________________________________________________?
Please mark the course of your choice:
Courses
Grade Date
Junior Nature Conservator
Cost
Time
Language
Mark
7 - 12
30 March – 02 April
R250-00
08H00 – 16H00 English
2015(Four days)
Junior Nature Conservator
7 - 12
07 – 10 April 2015
R250-00
08H00 – 16H00 English
(Four days)
Meet the Mammals
R–3
26 March 2015
R100-00
08H00 – 16H00 English
The World of Reptiles
4–7
27 March 2015
R100-00
08H00 – 16H00 English
An Intro to Birds ID
4–7
30 March 2015
R100-00
08H00 – 16H00 English
Scavenger Hunt
4–7
31 March 2015
R100-00
08H00 – 16H00 English
Die Wêreld van Reptiele
4–7
01 April 2015
R100-00
08H00 – 16H00 Afrikaans
Ontmoet ons Voëls
R–3
02 April 2015
R100-00
08H00 – 16H00 Afrikaans
Meet the Birds
R–3
07 April 2015
R100-00
08H00 – 16H00 English
Ontmoet ons Soogdiere
R–3
08 April 2015
R100-00
08H00 – 16H00 Afrikaans
Amazing Reptiles
R–3
09 April 2015
R100-00
08H00 – 16H00 English
Monkey Tricks
R–3
10 April 2015
R100-00
08H00 – 16H00 English
NB! Please notify the coordinator, presenter and administration officer about any medical condition such as allergies or
chronic illness.
I, ____________________________________________________ (name and surname), parent /guardian of the child
named above hereby agree to the conditions of course registration as indicated below:
Signature: ___________________________________________________ Date: _____________________
In view of the fact that my child is prepared to attend a course at the National Zoological Gardens of South Africa
(hereafter referred to as the “Zoo”), and in view of the fact that the Zoo is prepared to accommodate him/her on the
above-mentioned course, I therefore agree to:
1. Accept all risks and irrevocably indemnify the Zoo against any loss, damage, costs, expenditure or injury, including
physical or psychological injury, illness or disfigurement that may arise directly or indirectly out of his/her presence on
the course or in any other capacity, in any building or on the premises or in vehicle of the Zoo.
2. I further declare that I am conversant with the nature and extend of the course, duties and activities, as well as the
extent of all risks, injuries, loss or damage which may directly or indirectly result from his/her attendance of the aforementioned course or in any other capacity in the Zoo or in any of the Zoo’s buildings, premises or vehicles.
3. I furthermore declare not to instigate any claim of whatever nature or arising out of whatever reason against the Zoo,
any of its personnel, officials or agents, whether the claim is directly or indirectly related to or arises from his/her tasks
or his/her presence in his/her capacity as a course participant or in any other capacity in the Zoo or any of the Zoo’s
buildings, premises or vehicles.
For office use:
Amount: ____________________________ Receipt number: _____________________ Date: _____________________