Order & Enrollment Your Details Title First Name Last Name Date of Birth ID Number Nationality Email Daytime Phone Cell Number Postal Address Sales Rep Child's Details First Name Surname Date of Birth Gender Grade Package Details Grade 00 (R2000) - per annumGrade 000 (R2000) - per annumGrade 0000 (R2000) - per annum1-2 Year Olds (R2000) - per annumBaby/Toddler Curriculums (R1200) (including courier) - Every 3 months Kits & Packs Messy Play Home Kit R750 for 10 weeks (including courier)Messy Play Home Kit R350 for 5 weeks (including courier)Grade R Kit R1200 (including courier)Travel Pack R400 (including courier)Mom I’m bored holiday pack R600 (including courier) Please add up your total and make a payment Via EFT to: BANKING DETAILS Chantal G Roberts FNB Mooi River Branch Code: 220525 Acc no: 62259810268 Cheque Account Please send proof of payment to info@funkykidz.co.za I understand that I must forward all assessment work back to The Clever Little Owl for the certification award at the end of each year. I understand by practicing a minimum of 30 minutes per day, 5 days a week with my child, I will help him/her gain the necessary skills. I understand that fees are payable up front, and that there is a 1 week waiting period before receiving my order. I understand that I cannot hold The Clever Little Owl and FunkyKidz, their owners and employers responsible for any loss or damage that may occur. I acknowledge that I agree to the terms listed above and that my particulars details herein are correct.