Bosmansdam High School, Adam Tas Avenue, Bothasig, Cape Town, 7441. +27 66 257 3626 +27 66 257 3626 hello@connectperformance.co.za Form Submission is restrictedThanks for contacting us! We'll be in touch soon.Are you an athlete or parent/guardian of an athlete?*YesNoFirst Name*Last NameEmail*Your message*Athlete formPlease fill in this formForm Submission is restrictedForm is successfully submitted. Thank you!ApplicantOptionPlease choose*I am a post-school athleteI am a school-aged athleteI am the parent/guardian of an athleteI am a professional athleteADSchoolageFirst Name*Surname*Email*Phone*Athlete Date of BirthDay*112345678910111213141516171819202122232425262728293031Month*JanuaryJanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecemberYear*195019501951195219531954195519561957195819591960196119621963196419651966196719681969197019711972197319741975197619771978197919801981198219831984198519861987198819891990199119921993199419951996199719981999200020012002200320042005200620072008200920102011201220132014201520162017201820192020202120222023Street Address*Province*Western CapeWestern CapeEastern CapeFree StateGautengLimpopoKwa-Zulu NatalNorthern CapeMpumalangaOutside of South AfricaParent / Guardian DetailsParent / Guardian First Name*Parent / Guardian Surname*Parent / Guardian Contact Number*Parent / Guardian Email*Athlete sporting historyWhich sport(s) do you participate in?*RugbyAthletics (Track)Athletics (Field)NetballTennisHockeySoccerCricketBoxing or Martial ArtsOtherYou selected other, which sport?*Sporting history*What else would you like us to know about you?*Education detailsWhich grade are you in?*Grade 8Grade 8Grade 9Grade 10Grade 11Grade 12Attending techNot in schoolGrade 7 or belowEducation History* Submit Submit
