Register your reading club

First Name

Last Name

RSA ID number

If you don't have an RSA ID, please enter birthday yymmdd plus seven zeros, eg: 7212090000000

Cell number

Please use format 0823334444 (no spaces)

Alternative cell number

Please use format 0823334444 (no spaces)

Email

Please make sure that there are no blank spaces in your email address, or at the end of your email address

What is the name of your Organisation?

Type "Individual" if you are not linked to a particular organisation, or type the name of your organisation

Click here if you can't find your organisation's name listed above

Please enter your Organisation Name here

Which of these best describe your club?:

What is the name of your Reading Club?

Which of these jobs best describes you?

Which age group are most children?

How often does your reading club meet?

How long do your club meetings go for?

Which project are you registering under?

Currently receiving supplements?

Page 3

When are the best times to receive a call from Nal’ibali?

Province

City

Postal Code

Do you want Nal'iBali reading resources?

Delivery Suburb/Town/Area:

Delivery Street Name and Number

Which resources would you like?

Nali'Bali reading supplementsReading Club Starter Pack

Preferred language of supplement

Our supplements are bi-lingual, English + another language. Please select the additional language from this list

Preferred language of other resources

Please select one language

If you asked for Supplements or for a Reading Club Journey Pack, please select your nearest Post Office. If you do not have a functional Post Office available to you, you may select a nearby school, for delivery.

Post offices shown are based on your province and city selected.

Would you like supplements to be delivered to your Post Office, or to a nearby school?

Name of School where material can be delivered to

School address

School Postal code

School contact details (office phone number)

Email of contact person at school (either of the principal or administrator)

Post Office

Child Protection Policy

Children have the following rights: to learn; to have fun; not to be hurt; to be protected from physical, sexual and emotional harm; to speak and be taken seriously; to be treated equally no matter their race, gender, language, religion or other element of diversity; to privacy; to be protected from cigarettes, alcohol and drugs; and to proper care. Leaders who interact with children should not: spend excessive time with a child/children away from others; take a child/children to your home where they will be alone with you for no particular reason; hit or physically assault/abuse a child; act in ways that may be abusive; place a child/children in a situation of risk or potential risk; use language, make suggestions or offer advice that is inappropriate or abusive (e.g. swearing at a child); act or dress in a way that is inappropriate or sexually provocative; condone behaviour of children that is illegal, unsafe or abusive; take photographs or children or place them on social media without written permission of the child’s parent or legal guardian; or discriminate against, exclude or favour particular children. All adults who interact with children as part of Nal’ibali should uphold and promote child protection and children’s rights at all times.

I have read this and I agree

I hereby authorise by giving consent that the organisation’s duly authorised verification agent may access my Personal Information and conduct background screening checks and criminal verifications.

I understand that verification requests form part of the background screening process and I acknowledge that any Personal Information supplied to Nal’ibali is provided voluntarily and that the organisation may not be able to comply with its obligations if the correct personal information is not supplied to the organisation.

Data Privacy Policy

From time to time, Nal’ibali may wish to share your contact details to connect you with other FUNda Leaders working in your area, to distribute reading materials to registered reading clubs, or to conduct research to improve how Nal’ibali works. We will not use or share your information for any other purpose.

Data Privacy Policy

Protection of Personal Information

All Personal Information (name, surname, etc.) that we collect on this form will be processed and held in accordance with the provisions of the Protection of Personal Information Act, your rights thereunder as well as our Protection of Personal Information Policy. By completing this form, you consent to us processing your Personal Information.

Search form

Apply for a Nal'ibali reading club

Application Form to Open a new Nal’ibali Reading Club

Page 2

Page 3