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REGISTRATION FORM: NATIONAL EISTEDDFOD OF SOUTH AFRICA™ 2017Kindly complete the following pages and return this document to the NEA office by e-mail: [email protected] or fax: 011-787-3534. (You can also register ONLINE. Go to on www.eisteddfod.co.za and select Register Online on the main menu).

PART 1: Details of school / institution /studio

A. ADDRESS AND CONTACT DETAILS: (Please print clearly)REGISTRATION TYPE: Individual / Parent Public School Independent School Private Studio

NAME OF INDIVIDUAL / INSTITUTION / STUDIOPOSTAL ADDRESS CODE:

E-mail ADDRESS (school)PHYSICAL ADDRESS:STREET & NUMBERGPS Co-ordinatesRESIDENTIAL AREA /TOWNTEL. NO. FAX NO. TELEFAX NO.Kindly indicate which of the following school calendars apply to your institution, or learners from your studio (where applicable).PUBLIC SCHOOL CALENDAR

3 TERM CALENDAR

4 TERM CALENDAR OTHER

B. DETAILS OF CONTACT PERSON / REPRESENTATIVE: NAME OF REPRESENTATIVETELEPHONE NUMBER (Work) FAX NO.

(Work)CONTACT NUMBER (After hours) HOME: CELL: E-MAIL ADDRESS of REPRESENTATIVE

When is your birthday?Day: Month:

C. PARTICIPANTS’ SLIPSPlease provide ROEDEAN SCHOOL (S.A.) with copies of participant slips as indicated ()

Printed hard copies will be collected from the NEA

Require e-mailed participant slips

Not required

PART 2: Hosting of eisteddfod eventsKindly indicate if you would be able / willing to host eisteddfod events at your school. () If yes, the NEA office will contact you with more information:

Cannot host any event in 2017 – will participate at venues as provided by the NEA.Willing to host eisteddfod events in 2017 – all participants welcome.Willing to host eisteddfod events in 2017, but only for learners from our school.

*For more information about the hosting of eisteddfod events, please go to the Hosting link on the main menu page on the webpage:www.eisteddfod.co.za

PART 3: Selection of province / region / local area

The proposed timeframe for 2017 activities are 21 Aug – 7 October 2017.

Celebrating 20 Years of Youth Development in the Arts

Celebrating 20 years of youth development

http://www.eisteddfod.co.za/

mailto:[email protected]

Name of Institution:-2-

Various circumstances (e.g. mid-terms, school holidays, school activities that you are aware off, etc.) could cause difficulties with the proposed time frame for your local area or region.

You are welcome to propose alternative dates for hosting eisteddfod activities in your region / local area in order to provide for those challenges.

Details about the available venues within your province / region / local area will be published online. You can select any venue, provided that you are available for participation on the dates that the selected venues will be operating.

\

Name of Institution:-3-

Details of available PROVINCES / REGIONS / LOCAL AREAS

Broad timeframe for 2017: 21 Aug – 7 October 2017 (For more information kindly refer to the notes below.)

PROVINCE REGION LOCAL AREA to select

GautengE

aste

rn G

aute

ngBenoni

Gauteng BoksburgGauteng EtwatwaGauteng KathlorusGauteng KemptonparkGauteng SpringsGauteng TembisaGauteng ?Gauteng

Jobu

rg C

entra

l/Sou

th/E

ast

AlexandraGauteng Auckland ParkGauteng BedfordviewGauteng BenmoreGauteng GlenvistaGauteng GreensideGauteng HoughtonGauteng Hyde ParkGauteng LenasiaGauteng MelvilleGauteng NorwoodGauteng ParktownGauteng SandownGauteng SowetoGauteng ?Gauteng

Jobu

rg N

orth

BlairgowrieGauteng BryanstonGauteng DainfernGauteng FairlandGauteng FerndaleGauteng FontainebleauGauteng FourwaysGauteng KayalamiGauteng LindenGauteng LonehillGauteng MidrandGauteng NorthcliffGauteng SharonleeGauteng ?Gauteng N o r t h Centurion


ern

Gau

ten

g

Gauteng PretoriaGauteng SilvertonGauteng SoshanguveGauteng ?Gauteng

Sou

ther

n G

aute

ng

AlbertonGauteng HeidelbergGauteng VanderbijlparkGauteng VereenigingGauteng ?Gauteng

Wes

tern

Gau

teng

FochvilleGauteng Little FallsGauteng Merafong CityGauteng Mogale CityGauteng MuldersdriftGauteng RandfonteinGauteng RoodepoortGauteng RuimsigGauteng WeltevredenparkGauteng WestonariaGauteng ?Kwazulu Natal

Kw

azul

u N

atal

BallitoKwazulu Natal BereaKwazulu Natal DurbanKwazulu Natal LadysmithKwazulu Natal PietermaritsburgKwazulu Natal QueensburgKwazulu Natal ?Limpopo

Lim

popo

Bela-BelaLimpopo MakhadoLimpopo ModimolleLimpopo MusinaLimpopo PolokwaneLimpopo VaalwaterLimpopo ?

Mpumalanga

M pu m al an

EmhalhleniMpumalanga Hazyview


ga

Mpumalanga KomatipoortMpumalanga LydenburgMpumalanga MalelaneMpumalanga MbombelaMpumalanga MiddelburgMpumalanga Piet RetiefMpumalanga SecundaMpumalanga SteelpoortMpumalanga VolksrustMpumalanga ?North West

Nor

th W

est

DelareyvilleNorth West KlerksdorpNorth West LichtenburgNorth West MadibengNorth West PotchefstroomNorth West Rustenburg

VrydurgNorth West ?Northern Cape

Nor

ther

n C

ape

KathuNorthern Cape KurumanNorthern Cape PostmasburgNorthern Cape UpingtonNorthern Cape ?Western Cape

Wes

tern

C

ape

GeorgeWestern Cape HermanusWestern Cape KnysnaWestern Cape KraaifonteinWestern Cape PaarlWestern Cape ?International Mozambique Maputo

Namibia ?

The “?” in grayscale blocks indicate the option to add a NEW LOCAL AREA not provided for in the list above.

Name of Institution:Name of Institution:

Calendar for 2017: PLEASE MARK AVAILABLE DATES ONLY:Kindly use the 2017 calendar below to indicate () AVAILABLE dates within the proposed time frame. (Please discuss alternative dates with the NEA Office.) Please indicate ALL dates that will NOT BE AVAILABLE due to other pre-planned school commitments, holidays, Religious or Holy Days.

July 2017 Mon 24Public Schools – Start

Tue 25ISACA – 4 Term schools start

We 26 Thu 27 Fri 28 Sat 29

August

2017

Mon 31 July Tue 1 Wed 2 Thu 3 Fri 4ISACA – 3 Term schools close

Sat 5ISACA – 3 Term schools closed

Mon 7ISACA – 3 Term schools closed

Tue 8ISACA – 3 Term schools closed

Wed 9Women’s Day

Thu 10ISACA – 3 Term schools closed

Fri 11ISACA – 3 Term schools closed




Wed 16ISACA – 3 Term schools closed














Fri 1 SeptISACA – 3 Term schools closed

Sat 2 SeptISACA – 3 Term schools closed

Sept. 2017 Mon 4ISACA – 3 Term schools closed

Tue 5ISACA – 3 Term schools start

Wed6 Thu 7 Fri 8 Sat 9

Mon 11 Tue 12 Wed 13 Thu 14 Fri 15 Sat 16

Mon 18 Tue 19 Wed 20 Thu 21 Fri 22 Sat 23

Mon 25Public School Holiday

Tue 26 Wed 27 Thu 28 Fri 29 Public / ISACA 4 Term schools close

Sat 30 Public / ISACA 4 Term schools closed

Oct. 2017 Mon 2 Public / ISACA 4 Term schools closed

Tue 3Public / ISACA 4 Term schools closed

Wed4 Public / ISACA 4 Term schools closed

Thu 5 Public / ISACA 4 Term schools closed

Fri 6 Public / ISACA 4 Term schools closed

Sat 7Public / ISACA 4 Term schools closed

Mon 9 Public Schools startISACA 4 Term schools closed

Tue 10ISACA 4 Term schools closed

Wed 11ISACA 4 Term schools closed

Thu 12ISACA 4 Term schools closed

Fri 13ISACA 4 Term schools closed

Sat 14ISACA 4 Term schools closed

SIGNATURE (HEAD MASTER):………………………………………………….SIGNATURE (CONTACT PERSON): …………………………………………………………………………………..DATE: ……………………….

for download... · web viewou are welcome to propose alternative dates for hosting eisteddfod...

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