Q Cricket Application Form

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Products are sourced directly from factory.

All products bought online have a 90 days, 100% money back guarentee on quality

Visit our Social Sports Network on left side of page and receive 5% discount when joining.

All charges are applicable in South African currency "Rand (R)"

Cricket Balls, Cricket Bats, Cricket Accessories

HOME > Q Cric Application Form

Application Form

(* represents compulsory fields )

Child's Information

Schools Name :
Area :
Class :
Child's Surname :
Name and Initials :
Date of Birth and Id (Compulsory) :

Medical Information

Allergies or Medical State :
Medical Aid and No. :
Doctors Information :

Parents/Legal Guardian Details

* Surname :
* Name :
* Cell :
* E-mail :
* Tele (H) :
* Tele (w) :

Personality Of Child

Please describe your child`s character in not more than 30 words :

Membership / Subscription Fee for Pre School Coaching

Monthly Subscription :		Rs 105
Quarterly Subscription :		Rs 290
Annual Subscription :		Rs 1100

Subscription Fee for Primary School Coaching

Monthly Subscription :		Rs 150
Quarterly Subscription :		Rs 420
Annual Subscription :		Rs 1700

Accounts

Payments/ Cheques For :

Pro Quest Sports
Standard Bank, Business Current account no 411405314
Branch Code : 012645,Standard Bank of South Africa

1. QCRIC TSHWANE NORTH
2. QCRIC CENTURION
3. QCRIC MIDRAND

Qcric Tshwane North
Account Holder: Bank: Branch Code: Type: Account number:	Qcric Tshwane North ABSA 632-005 Savings 9228148324

General

Coaching will coincide with school terms. No disccount can be given for missed sessions due to rain, public holidays or children being absent. One months notice to be given for cancellations. Children will be required to wear comfortable clothing. Super Hero FlyQ-man outfits wiil be available for purchase.
Please contact your coach with any queries. Your inputs and questions are always welcome.

Indemnity

I, , the undersigned, parent/legal guardian of (Child's name) , do hereby irrevocably indemnity Pro Quest Sports, coaches, management, Pre School and any partners of Pro Quest Sports against any liability or claim whatsoever in respect to injury which may be sustained by my child as a result of participating in Q Cric activities during training, displays or promotions. I have read and understood all the terms and conditions in this applications form and related brochure or correspondence.

Terms and Conditions
I agree with the terms and conditions of Q cric and it serves as approval for indemnity

* Enter the code shown on image:

Send me a copy of this enquiry

Bank Details Pro Quest Sports
It's always good doing business with you. We trust that our relationship with you will be a long-term mutual beneficial one. Herewith our banking details:

South African Customers:

Pro Quest Sports, Standard Bank
Business Current Account
Account number: 411 40 53 14
Branch number: 012645, Centurion

International Customers

Pro Quest Sports, Standard Bank of South Africa
Swift Account SBZAZAJJ
Business Current Account
Account number: 411 40 53 14
Branch number: 012645, Centurion

Not all products are mentioned on this site and a query can be forwarded so that a sports specialist can contact you within 24 hours.

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