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Tour Booking Form

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Tour Registration Form

Student Details

School Details


Please complete all details as per government issued ID or Passport


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Field is required!
School Name

Please select tour option:


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Field is required!
Field is required!
Field is required!
Grade

Personal Details

First Name (s)
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Field is required!
Date of Birth
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Field is required!
Surname
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Field is required!
ID number if applicable
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Field is required!
Email Address
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Field is required!
Mobile Number
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Field is required!

Medical Details

Medical Aid Name
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Field is required!
Membership Number
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Main Member
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Medical Allergies ?
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Any additional information

Please include any other material information about the student here.
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Field is required!

Parent Details

Note: For practical purposes this is the parent that will be reflected on the invoice, unless otherwise advised

Relationship to student
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Field is required!
First Name (s)
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Field is required!
Email Address 1
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Field is required!
Home Number
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Field is required!
Physical Address
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Field is required!
Surname
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Field is required!
Email Address 2 (if applicable)
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Field is required!
Mobile Number
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Field is required!
Work Number
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Field is required!
Please include any other tour related enquiries here. We will collate all the questions and send out to all, with feedback.
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Field is required!
Emergency Contact

Note: The emergency contact is in addition to the above mentioned parent.

This contact can be the other parent , a relative or guardian.

Relationship to student
Field is required!
Field is required!
First Name (s)
Field is required!
Field is required!
Home Number
Field is required!
Field is required!
Surname
Field is required!
Field is required!
Mobile Number
Field is required!
Field is required!
Field is required!
Field is required!
Field is required!
Field is required!
SUBMIT

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