*Denotes required fields

Athlete/Student Info:

*First Name: Middle Name: *Last Name
*Family Name: *Date of Birth: *Age:
*Gender: *Race: State Race:(If Other)
     
Current School: Current Grade: *Home Language:
Prev Training: *Class Interested: *Contract Option:
     
ID Number/Birth Certificate Number: Passport Number: Medical Aid:
Medical Aid Member Number:    
   
Disabilities:
Allergies:
Medications:
Other:

 

Parent/User Info:

*First Name: *Last Name: *Email:
*ID Number: Passport Number: *Relationship to Child:
     
*Mobile Number: *Emergency Number: Work Number:
Home Number: *Account Username: (Choose) *Password: (Choose)
     
Home Address:
Postal Address:
Work Address:
 

 

Rules & Regulations:

(Tick the box) I have read, understood and agree to the rules & regulations of Drakes Academy (Pty) Ltd
For full Rules, Regulations & Policies >> Rules, Regulations & Policies <<

 

Payment Policy:

(Tick the box) I have read, understood and agree to the payment policies of Drakes Academy (Pty) Ltd
 

 

Waiver:

  • (Tick the box) I am at least 18 years old and I have read and agree to the terms of the above agreement/waiver
  • Waiver valid for 1 year, you may also be required to sign a physical copy

     

    For full Rules, Regulations & Policies and additional info>> Parents Handbook <<

    I AGREE TO ALL THE ABOVE

    * Type Full Name Below

    This is a binding contract and you are agreeing to all the rules, regulations, policies and waiver above.

    Please make sure all info is correct, we will be in contact within 2 weeks.