1. FOOTBALL
LA MONTAGNE
PROGRAMME
DEVELOPMENT
AIM OF THE
PROGRAMME
TO INCREASE PARTICIPATION IN
FOOTBALL
TO DEVELOP TECHNICAL
ABILITIES: BALL CONTROL,
BALL SKILLS, HEADING,
PASSING, SHOOTING AND
GOAL-KEEPING
TO ENHANCE CREATIVE
POTENTIAL IN EACH PLAYER
WE ALSO OFFER
REGISTRATION:
R200 TO REGISTER FOR THE FIRST
MONTH THEN R240 PER MONTH (R30
PER SESSION) FROM THE SECOND
MONTH
CONTACT:
SELOKA PHIRWA +27 72 671 2561
coachseloka@gmail.com
CRICKET
(Bowling and
Batting)
ATHLETICS
(Sprints, Middle
Distance and
Hurdles)
SOCCER
(Goalkeeping)
THE PROGRAMME CONSIST OF
2 x 1HOUR PRACTICE SESSIONS
PER WEEK
RUNS THROUGHOUT THE
WHOLE YEAR INCL HOLIDAYS
(June/Sept).
FRIENDLY MATCHES WILL BE
ORGANISED
ABOUT THE
PROGRAMME
Design and layout sponsored by:

2. REGISTRATION FORM
CHILD’S DETAILS
NAME SURNAME
DATE OF BIRTH
CLASS MALE FEMALE
POSTAL ADDRESS
SCHOOL NAME
PARENTS DETAILS
MOTHER: NAME SURNAME
ID NUMBER
CONTACT NO: HOME/CELL/OTHER
EMAIL
FATHER: NAME SURNAME
ID NUMBER
CONTACT NO: HOME/CELL/OTHER
EMAIL
PERSON RESPONSIBLE FOR PAYMENT:
NAME SURNAME
ID NUMBER
CONTACT NO: HOME/CELL
EMAIL
PLEASE INDICATE WHICH SPORT YOU ARE ENROLLING IN (Tick the appropriate box)
FOOTBALL CRICKET ATHLETICS FOOTBALL GOALKEEPING
TERMS AND CONDITIONS:
FEES ARE PAYABLE PER SESSION OR AT THE END OF EACH MONTH.
NO SESSIONS WILL BE HELD DURING PUBLIC HOLIDAYS
THERE IS NO REDUCTION IN FEES FOR NON-ATTENDANCE DUE TO ILLNESS OR ANY OTHER REASON
I, the undersigned, indemnify the coaches of any responsibility should my child be injured through his/her
participation in the programme. I accept the terms and conditions as indicated in the leaflet.
Signature Date