Registration

Enroll Your Child

Complete the form below to register your child for our rugby skills program.

Program Information

Ages 3-13 years

30 min sessions

Once weekly

3-12 per class

Parent/Guardian Information

Full Name *

Relationship to Child *

Phone Number *

Email Address *

Child Information

Child's Full Name *

Date of Birth *

Age *

Gender *

Program Selection

Program Type *

Preferred Location *

Payment Options

For the school program (required if selecting School Program)

Monthly: R300.00 · 10 payments (payments before 7th of each month)

Quarterly: R720.00 · 4 payments (payment during first month of quarter)

Yearly: R2700.00 · Once off payment, 10% discount

Registration Fee: R100.00 per year (included with first payment).

Private Coaching: R130.00 per hour for a private coaching lesson. Enquire for more information and payment details.

Medical Information

Medical Conditions / Allergies

Emergency Contact Name *

Emergency Contact Phone *

Additional Information

Comments or Questions

How did you hear about us?

I hereby give consent for my child to participate in Rugby Skills for Kids activities. I understand that while every precaution is taken to ensure safety, participation in physical activities carries inherent risks. I agree to the terms and conditions of the program. *

I give permission for photographs/videos of my child to be used for R4K marketing and promotional materials.

We'll contact you within 24-48 hours to confirm enrollment and provide payment details.

Payment Information

After your enrollment is confirmed, you can make payment via EFT to the following account:

Bank

FNB

Account Name

M and J Kids (Pty) Ltd

Branch Code

250655

Account Number

62829948936

Reference: Child's name and surname + School name