Membership Application
  • Child Name*full name
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  • Birth date*
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  • School*
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  • Grade*select current grade
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  • Lesson Type*select the desired lesson type
    Group - 7 to 17 (R480pm based on 4 sessions)
    Individual - based on 4 sessions with assistant coaches (R580pm)
    Grassroots - 4 to 6 (R376pm based on 4 sessions)
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  • Preferred Day**not guaranteed
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  • Name of person paying*full name
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  • Contact number*account holder
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  • Email*account holder
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  • ID number*account holder
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  • Name*parent who will be transporting
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  • Contact number*parent who will be transporting
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  • Physical Address*full address
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  • Health issues*please specify any health issues or medical requirements
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  • Method of payment*
    Cash
    EFT
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  • Terms and Conditions
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  • 1. Fees are set per month and are not refundable for non-attendance. The Annual Membership Fee of R180 is non refundable. 2. Fees are strictly due in advance on the first working day of the month. 3. Interest will be charged on overdue accounts. 4. GRASSROOTS / GROUPS / INDIVIDUAL LESSONS: Should a junior be unable to attend a lesson, our office should be notified at least 24 hours beforehand. The coach will endeavour to accommodate making up a lesson for the junior in another slot where possible but not guaranteed. Lessons run during the term and break over the holidays. Lessons run until the last day of each term and commence again in the first week of the new term. Individual lesson rates are reduced and are based on the student taking a minimum of 3 sessions per month. If less than 3 sessions are taken, the rate increases to R190 per session. 5. In the event of bad weather, we will send a text message to cancel the lesson. We will, where possible, make up for missed sessions. 6. Cancellation of participation in the PMJA programme requires you to give the office one month's notice in writing. 7. Safety is a priority when coaching our juniors and therefore we are very strict with our safety regulations during our coaching sessions and expect the children to adhere to them under our guidance. Pure Motion Golf Academy Golf Academy does not accept responsibility for any injury that may occur while under our supervision nor do we accept any responsibility for loss or damage of equipment.
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  • Bank Details
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  • Beneficiary Reference: Child’s name & surname OR PMJA account no. and name (if available) Account: Pure Motion Golf Academy – Standard Bank - Cheque Acc 071970770 # – Branch # 050410
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  • Agreement
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  • I, the undersigned, hereby confirm that the information provided above is true and accurate and agree to the terms and conditions of Pure Motion Golf Academy Pty Ltd.
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  • Name*full name
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  • Date*of signing
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  • Time*of signing
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  • Captchaadd the numbers
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