CBS Permission English - Cornel Bekker Self Development Center

72 Premier Street, c/o Premier and Third Street, Krugersdorp-North.
Cell: Annalien: 084 054 3786 Minette: 082 415 3071
  • Client Details:

    Please fill out the details of the person who will attend the program.
    (* fields are required)

  • Date Format: MM slash DD slash YYYY
  • I hereby give permission for participation in the following programme/s:
  • General Information

    Payable before sessions begin.
    M JvRensburg,
    ABSA Savings Account: 318 1914 92
    Branch Code: 632005
    Reference: CBS + Name & Surname of the Child
    Please email the proof of payment with this form to: Annalien -

    You will not be able to claim these services from your medical aid.
    Although the staff at the centre do everything within their power to ensure the safety of your child, we accept no liability or responsibility for any injuries, damage or loss in or outside the house or jungle gym. We are also not responsible for your child when he leaves the premises. Please ensure that you collect him/her on time .

    A certificate of attendance will be issued. No reports will be written.
    The programmes for children are run on Wednesday afternoons from 15:30 to 16:30.
    The parental guidance programmes run on Wednesday evenings from 19:00 to 20:30.