Kiddi Play area policy - subscription form

Membership Application Form

Legal Entity Name
Trading As Name
Ind/ Group
Owners Full Name
Date Of Birth
Tel. No.
Fax No.
Cell Phone
Email
Physical Address Line 1
Physical Address Line 2
Physical Address Line 3
Postal_Code
No.of_outlets
Restaurant Type Coffee Shop/ Party Venue
Liquor License Yes/No
No. of employees
Seating Can seat
Wheel Chair Access Yes/No
SAMRO License Yes/No
Website Address
Play area size
Register for entry and exit Yes/No
Equip.meets SABS specs Yes/No
CCTV monitoring play area Yes/No
RASA trained child minder Yes/No
Suitable soft landing flooring Yes/No
Correct hygiene facilities Yes/No
Play areas disinfected daily Yes/No
Disclaimer displayed Yes/No

 

RASA Bank Details:
Account Name:	The Restaurant Association of South Africa
Bank:	Standard Bank
Branch:	Sandton (019 205)
Account Number:	420 998 578

 

Tel: 011 705 2054 & 011 705 2897
Fax: 086 690 1979
Website: www.restaurant.org.za