ONLINE FORM - Surfing South Africa

HOME
ABOUT
EVENTS
MEMBERSHIP
NEWS
CONTACT

Select Page

SURFING SOUTH AFRICA MEMBERSHIP APPLICATION FORM

Name(Required)

First Last

Phone(Required)

ID Number(Required)

Email(Required)

Date of Birth(Required)

MM slash DD slash YYYY

District(Required)

Gender(Required)

Male

Female

Discipline(Required)

Surfing

Longboarding

Para Surfing

Knee Boarding

Bodyboarding

Are you a surfer(Required)

Yes

No

Are you a(Required)

Coach

Technical Officer

Supporter

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

DISCLAIMER: I hereby make formal membership application to Surfing South Africa for 2025. If accepted as a member I agree to abide by the Surfing South Africa Code of Conduct and the Surfing South Africa Rules and Regulations. When competing in or working at Surfing South Africa sanctioned contests and events, I agree to abide by the decisions of the judges, contest officials, and organisers. Furthermore I hereby release the sponsors, their members or agents and any event officials from all liability for injuries or damages whatsoever arising from my participation in or presence at an SSA sanctioned contest or event. Release is inclusive for photographs and moving pictures of the contest.(Required)

CONSENT: I hereby give Surfing South Africa consent to store my personal information. By checking this box, I agree to the Disclaimer and Consent above.

Today's Date(Required)

MM slash DD slash YYYY

Entry Fee

Membership fee of R250 from January 1st to December 31st 2025.

Please upload SELFIE in Portrait Size for your membership card

Drop files here or

Accepted file types: jpg, png, jpeg, Max. file size: 128 MB.

Email

This field is for validation purposes and should be left unchanged.

If you are not automatically redirected to the payment page, CLICK HERE to go to the page and make payment.

Views: 67

Facebook
Instagram

Copyright © 2022 Surf South Africa | All Rights Reserved | Designed by CLICKS COUNT

←
WhatsApp
Facebook