Kinderkinetics Enroll – Cape Kinetics

Emergency contact (not parent)

Emergency contact Phone

Medical History

If any of the above are applicable, please elaborate

My child was born on _____ weeks

My child started sitting at ____ months

My child started walking at _____ months

Anything else you need us to know ?

I would like to be invoiced (Please select)

I would like to order Cape Kinetics T-shirt for my child at R150

If Yes, please choose your size option

Consent

I hereby take full responsibility for settling my account and I understand that my child will not be allowed to take part in the sessions, should my account not be settled
I undertake to give one month notice, should I wish to terminate the sessions.
I understand that sessions are presented during school terms as determined by the government. No classes missed by my child, will be worked in at a later stage.
Herewith, I indemnify the Kinderkineticist: Ciska Smith and Cape Kinetics of any injury to my child, which may occur during participation in the Kinderkinetics programme, with the consideration that every possible precaution will be taken to ensure my child's safety at all times.
I understand that there are 12 monthly payments, or 4 term payments per year (Total amount of sessions divided by 12 or 4 respectively)
We as Cape Kinetics, aim to adhere to personal information protection as detailed by POPI and POPIA
I hereby understand that information about the development of my child will be shared and made available to the teacher and/or headmaster to the best interest of my child.

Where are we?

SUNNINGDALE

1 Sunningdale Suites
12 Wildwood Close
Sunningdale
Cape Town
7441

MELKBOSSTRAND

6th Ave & Commaille Road
Melkbosstrand
The Health Compass

Quick Contact

Contact Details

Ayden (Biokineticist): 082 313 1675
Ciska (Kinderkineticist): 079 881 5711

Hours

Monday – Friday:
6:00AM – 6:00PM

Kiana Greeff

Kiana graduated from the University of Potchefstroom. She believes that children are our future and there is no higher honour than to work with them.

She is passionate about movement, being active and strives to create life long movers.

Ayden Smith

Ayden graduated from the University of the Free State in 2015, before completing his internship at the Sports Science Institute of SA, where he still practices as a Biokineticist at the High Performance Centre.

He has worked with teams including:

South Western Districts Cricket team at the 2017 Africa Cup
SA tag rugby in preparation for their World Cup in 2018
UCT cricket since 2016
Milnerton High School Cricket teams
Biokineticist for the Blouberg Marlins Swim club.

He was a speaker at the School Sports summits in 2016 and 2017, presenting on youth strength training, long-term athletic development and physical maturation

Ciska Smith

Ciska is a passionate and loving Kinderkineticist. She is dynamic and loves what she does.

She graduated Cum Laude at the University of the Free State in 2015, and completed practice experience in Pretoria, before moving to Cape Town to open her own practice.

She practices in all areas of the city, including Table View, Strand, Somerset West and Durbanville.

Her numerous skills include:

Baby stimulation and massage
Identification of developmental delays
Aerobifit
Gross-motor development

Kinderkinetics Enrollment Form

Where are we?

Quick Contact

Contact Details

Hours

Kiana Greeff

Ayden Smith

He has worked with teams including:

Ciska Smith

Her numerous skills include:

Her numerous skills include: