Member Registration - Step 1 of 3

Surname : First Name : ID Number / Passport :
Gender : Date of Birth (yyyy-mm-dd): CHESSA ID :
(Keep 0 if you do not know)
South African : Contact Number (082 123 1234): Email :
Race :
Needed due to a SASOC regulatory requirement
School :
(If name is not here please put school name in Notes)
Address Field 1 : Address Field 2 : Address Field 3 :
Notes : Club T-Shirt : Kids Size
Kids Sizes
Adult Size
Adult Sizes
Membership Type :