Please complete one form per delegate. Should you have any questions, please do not hesitate to contact Andiswa Makha on 021 697 0576 or 082 298 1220.
By submitting this online form, I affirm that I have completed and submitted the RECRUITMENT APPLICATION QUESTIONNAIRE I commit to attend all two days and one night of the MOT Coach Training Workshop Retreat and agree that I have a keen interest in presenting MOT to the youth. I will inform MOT SA office two weeks in advance should I wish to cancel my attendance.
CONSENT FOR LIABILITIES:
By submitting this online form, I AGREE:
1. To pay for any damages, which may be incurred occasioned solely through my misconduct or carelessness to the person or property of any part or parties.
2. I shall not hold the Leadership or the members of staff responsible for any loss of personal effects or money.
3. I will indemnify him/her/them in respect of any expenses reasonably incurred in consequence of any accident to, or illness.
4. I hereby authorize staff present to consent to such medical treatment which, in the opinion of a qualified medical practitioner may be necessary during the course of the camp.
My IN CASE OF EMERGENCY person will be contacted if I am injured, ill or require medical treatment.