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Please fill in the following form:

Child's Name:
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Field is required!
Child's Surname:
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Birthday:
Select a date
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Age:
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Name of School/Creche:
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Allergies:
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T-Shirt Size:
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Mother's Name:
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Mother's Surname:
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Field is required!
ID Number:
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Cell:
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Email Address:
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Father's Name:
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Field is required!
Father's Surname:
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Field is required!
ID Number:
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Cell:
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Email Address:
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Preferred Contact Person:
  • - select a option -
  • Mother
  • Father
- select a option -
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Field is required!


I hereby agree that my child may join First Pedal and that I shall not hold First Pedal or the instructors liable for any unforeseen accidents that may befall my child during weekly classes if my child handled with care and not exposed to dangerous activities. I also understand and accept the payment options and terms and conditions stated.

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Field is required!
First Name:
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Surname:
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