VCSV Winklespruit Seekamp: LEERDER Inskrywingsvorm 2025

Leerder Inskrywingsvorm 2025

Gebruik hierdie vorm indien jy wil inskryf vir die VCSV Winklespruit Seekamp 2025. Die kamp is vir Graad 8 tot 12 leerders en word vanaf 5-10 Oktober aangebied op die VCSV Winklespruit kampterrein buite Amanzimtoti. Kampkostes beloop R3700 per inskrywing. Sien asb Facebook (Winklespruit VCSV/UCSA) of Instagram (winklepsruit_seekamp) vir meer inligting. / Use this form to register for the 2025 UCSA Winklespruit Sea Camp. The camp is for grade 8-12 learners and will run from 5-10 October at the UCSA Winklespruit campsite close to Amanzimtoti. Camp cost is R3700 per entry. Follow us on social media for more information.
LEERDER SE BESONDERHEDE: / LEARNER INFORMATION:
Leerder (kamper) se NAAM en VAN / Learner (camper) NAME and SURNAME*

NaamVan
Leerder (kamper) se selnommer / Learner (camper) contact number*
Geboortedatum / Date of Birth*

MaandDagJaar
Geslag / Gender*

Manlik / MaleVroulik / Female
Skool waarin kamper is / Name of School*
Skool se naam (Indien leerder "home school", vul in tuisskool)
Graad waarin kamper (leerder) is / Grade *
Huistaal van kamper/ Home language of camper*
Ex. English, Afrikaans, Zulu, etc
T-hemp grootte - Unisex fit (reeds by kampkoste ingesluit) (Daar is ongelukkig nie 'n XS beskikbaar nie) / T-shirts size Unisex fit (Already included in camp fees) (Unfortunately not available in XS)*

SmallMediumLargeXLargeXXLargeXXXLarge
Wil jy wit VCSV handelsmerk Versus kompressie Sokkies bysit @R160? / Do you want to add white UCSA Branded Versus Compression Socks @R160*

3-78-12No thanks
OUER/ VOOG SE BESONDERHEDE: / PARENT/ GUARDIAN INFORMATION:
OUER/ VOOG NAAM en VAN / PARENT/ GUARDIAN NAME and SURNAME*

NaamVan
Kontaknommer / Contact Number*
e-pos van persoon verantwoordelik vir betaling / email of person responsible for the payment*
example@example.com
INLIGTING IN GEVAL VAN NOOD: / INFORMATION IN CASE OF AN EMERGENCY:
NAAM en VAN van kontakpersoon in geval van nood / NAME and SURNAME of close relative in case of an emergency*

NaamVan
Verhouding met kind / Relationship to child*
Kontaknommer / Contact Number*
NAAM en VAN van alternatiewe kontakpersoon in geval van nood / NAME and SURNAME of an alternative close relative in case of an emergency*

NaamVan
Verhouding met kind / Relationship to child*
Alternatiewe Kontaknommer / Alternative Contact Number*
Naam van Mediese Fonds / Medical Aid Name
Mediese fondsnommer / Aid Number
Hooflid se NAAM en VAN / Main member NAME and SURNAME
Naam en Van
Het die kamper (leerder) enige allergieë, kroniese siekte of mediese kondisie waarvan ons bewus moet wees? Indien JA, beskryf asb. / Does the camper have any allergies, chronic illness or medical condition we need to be aware of? If YES, please elaborate.
Hooflid se ID Nommer / Main Member ID Number
ID nommer van Hooflid
Informed Consent and Acknowledgement:

By registering, you the parent/guardian, hereby give permission that the abovementioned camper may attend the camp at VCSV Winklespruit campsite in KwaZulu Natal. You take note that VCSV/UCSA will ensure the safety of the abovementioned camper as far as possible and that the organization or its staff cannot be held responsible for any injury, incident, accident, illness, or death that might arise from their participation. You give consent that the abovementioned camper will be transported by bus from Hoërskool Waterkloof's gate to the campsite and back. There will be camp leaders on the bus, but no staff member or leader will be liable or responsible for any accident, injury, incident, or death on the bus. You give consent that pictures or video takings of the abovementioned camper may be used for VCSV/UCSA marketing purposes. You acknowledge that there are certain rules that learners will be required to adhere to during the camp and that you understand that the campers will have to conform and adhere to these rules which will ensure a professional and safe process. You also give consent that VCSV/UCSA may keep information on record according to the POPI Act. You take note that the rules of the camp are available on request at info@winklespruit.co.za.
DEUR DIE VOLGENDE VORM TE TEKEN EN SUBMIT, BEVESTIG U AS OUER/ VOOG VAN DIE BOGENOEMDE KAMPER DAT U ALLE INLIGTING DEEGLIK DEURGELEES HET EN DIE KAMPKOSTE VAN DIE VOLLE R3700 TEEN 15 SEPTEMBER 2025 IN DIE VOLGENDE REKENING BETAALBAAR IS: / BY SUBMITTING THIS FORM, THE PARENT/ GUARDIAN OF THE ABOVEMENTIONED CAMPER CONFIRMS THAT ALL INFORMATION IS READ, WILL PAY THE FULL CAMP FEES OF R3700 BY 15 SEPTEMBER 2025 TO THE FOLLOWING UCSA BANK ACCOUNT:

Rekening Naam: VCSV Projekte 2

ABSA Tjek / Cheque

Rekening nommer: 4045315731

Verwysing: Kamper se NAAM en VAN / Camper NAME and SURNAME

AFBETALING VAN KAMPKOSTES WORD AANGEMOEDING. / DOWNPAYMENT IS ENCOURAGED.

VERDER BEVESTIG U AS OUER/ VOOG VAN DIE BOGENOEMDE KAMPER DAT U BEWUS IS DAT DIE BUSSE OM 06:00 SONDAGOGGEND, 5 OKTOBER 2025 VANAF H/S WATERKLOOF SE HEKKE SAL VERTREK EN WEER TERUG SAL WEES BY H/S WATERKLOOF, LAATMIDDAG OP VRYDAG 10 OKTOBER 2025. / FURTHERMORE, YOU AS PARENT/ GUARDIAN ARE AWARE THAT BUSES WILL LEAVE FROM WATERKLOOF HIGH SCHOOL, AT 06:00 ON SUNDAY MORNING, 5 OCTOBER 2025 AND RETURN TO WATERKLOOF HIGH LATE AFTERNOON ON FRIDAY 10 OCTOBER 2025.

EK BEVESTIG DAT DEUR ELEKTRONIES TE TEKEN EN "SUBMIT FORM" TE DRUK, HIERDIE HANDTEKENING AS 'N OORSPRONKLIKE EN BINDENDE ELEKTRONIESE PAPIERHANTEKENING GEBRUIK SAL WORD, WAT 'N OORSPRONKLIKE PAPIERHANDTEKENING VERVANG EN AS BEVESTIGING VAN ALLE KORREKTE INLIGTING IN DIE VORM DIEN. / I HEREBY CONFIRM THAT THIS ELECTRONIC SUBMITTION IS A VALID AND BINDING SIGNATURE REPLACING A PAPER SIGNATURE AND CONFIRM THAT ALL INFORMATION IS CORRECT AND TRUE.
Please verify that you are human*
Should be Empty:

Leerder Inskrywingsvorm 2025