Teneo's ActionBall Application form

Please complete this form and submit it. We will contact you with Instructor's details, as well as payment details.
Please note that there is a compulsory registration fee that ensures that each child receives an ActionBall t-shirt.

Agreement & waiver

ActionBall makes the safety of its children its utmost priority and strives to maintain a safe learning and teaching environment. I understand, agree and acknowledge that ActionBall, ActionBall’s licensee/s and instructor/s as well as all persons associated with ActionBall do not accept any responsibility or liability whatsoever for any loss, injury or damage of any kind which my child/the child in my care may incur during and whilst engaged in any ActionBall class and activity. It is understood and expressly agreed that I hereby release, hold harmless and indemnify ActionBall, ActionBall’s licensee/s and instructor/s as well as all persons associated with ActionBall from any and all liability of any kind for all and any loss, damage and/or injury, howsoever arising, incurred in connection with my child’s/the child in my care’s attendance in any ActionBall class and activity.

Media Release

I hereby consent to, authorise and allow any use and reproduction by ActionBall of any and all photographs, audio, sound bites taken or visual recordings collected or recorded of my child/the child in my care during his/her participation in any ActionBall class and activity. I understand, acknowledge and agree that ActionBall will own the photographs, audio, sound bites taken and visual recordings and the right/s to use or reproduce such photographs, audio, sound bites taken and visual recordings in any media forum. I understand, acknowledge and agree that ActionBall shall also have the right and discretion to edit the photographs, audio, sound bites taken and visual recordings or prepare derivative works, for the purposes of promotion, advertising, and public relations. I agree that such use of all and any photographs, audio, sound bites taken and visual recordings as described hereinabove will be free of charge and will not result in any liability for payment to any person, company or organisation.

I, the undersigned, hereby provide my consent for my child/the child in my care to participate in all ActionBall classes and activities and that I have carefully read, fully understand and unconditionally accept this Agreement, Waiver and Media Release. It is also understood and agreed that the participation in all ActionBall classes and activities by my child/the child in my care is at his/her own risk and that I, as the parent/guardian, will provide 1 (one) months’ written notice to my child’s/the child in my care’s ActionBall licensee/instructor in the event that I wish to terminate this Agreement. It is confirmed that by submitting my child’s/the child in my care’s and my personal information (“Personal Information”) to ActionBall, irrespective as to how such Personal Information is submitted, I, the undersigned, hereby consent to the collection, collation, processing and storing of such Personal Information as well as the use and disclosure of such Personal Information in accordance with the Protection of Personal Information (“POPI”) Act 4 of 2013.