RL REGISTRATION FORM

PERSONAL DETAILS

Recruit your friends, family, colleagues and employees. 10% Off every person recruited.

Please notify us of any serious medical conditions you may have

INDEMNITY & RELEASE

I understand and accept that all the activities that take place on any A2B premises are at my own risk. I hereby indemnify A2B Transformation and its workers against any claims which may arise about the loss of property or personal injury. I hereby expressly grant A2B Transformation and to its employees, agents and assigns, the right to photograph me and use my picture, silhouette, and other reproductions of my physical likeness (as the same may appear in my still camera photograph and/or motion picture film). In and about the exhibition, theatrically, on television or otherwise of any motion pictures in which the same may be used or incorporated, and in the advertising or publishing of any such motion picture, but in any measure whatsoever may recordings made by said company of my voice and all instrument musical or other sound effects produced by me.

To qualify to become a Responsive Leadership provocateur, an additional fee of R1500 (4 hours) will be charged for your summative assessment.

COSTS

These indicated costs are per module. Payment to be made 7 days before commencement of each module.

RL Costs

To qualify to become a Responsive Leadership provocateur, an additional fee of R1500 (4 hours) will be charged for your summative assessment.

BANK DETAILS


We are currently working on getting online payments up and running through our website.
Please pay via EFT.


NAME: Amajobjob
BANK: Standard bank
ACC NO: 01 219 905 2
BRANCH: Hatfield
CODE: 1545 00

Send your proof of payment to kory@a2btransformation.com