ACCESS CARD APPLICATION First Name*Last Name*ID Number*Mobile Number*Email* Number of Children*Emergency Contact Name*Emergency Contact Number*Terms & Conditions* I have read and agree to the T's & C's which you can download here ... Upload a photo of the main cardholder/s*Choose OptionsAccess Card to Breakers Resort Swimming PoolsDay Pass admits up to 4 people onlyAdmits 2 peopleAdmits family of up to 4 peopleAdmits family of up to 6 peopleTotalTotal R0.00 Day Pass Date of Day Pass Date Format: DD slash MM slash YYYY A Day Pass is only valid for the date above.Number of guestsPlease enter a number from 1 to 4.PhoneThis field is for validation purposes and should be left unchanged. DAY PASS - Valid for One Day Only ● Please call to book your day pass in advance. ● Access may be denied if the pool deck is too full. ● You may pay via EFT or cash or Zapper on arrival. ● The Day Pass will be available at reception when you arrive. ● Download and sign the Terms and Conditions and return them to us. EFT Banking Details First National Bank Florida Road Branch Code 220526 Account Name: Gecko Culinary Adventures Account Number: 62451353735 Email Proof of Payment to: firstname.lastname@example.org NB - Subject: Access Card Please no cash deposits at a bank or ATM that will attract bank charges for these payments which you will be responsible for. You may also pay cash or with Zapper or credit card on collection. N.B. Credit card payments will attract VAT as these are processed through our VAT registered company.