Full names and Surname*
Titel*
Occupation*
Gender:*
MaleFemale
ID Number:*
Type of Membership:*
Full MemberScholar
Street address:*
Postal address:*
E-mail:*
Zip code:*
Home Tel:*
Cell:*
Squash SA number:*
NSF number (if applicable):
Full names of parent/guardian: (In case of minor)
Telephone number of parent/guardian: (In case of minor)
(All fields indicated with * are compulsary.)
In order to join: