2018 WP Membership Information Form
Capture all fields and submit the information. Note that the membership only becomes effective after receipt of the proof of payment of the membership fees.
Some fields are compulsory - please make sure that you fill them.
Personal Details
First name *
Your answer
Surname *
Your answer
Date of birth *
Format: dd mmm yyyy (e.g. 22 June 1992)
Your answer
ID number *
Format: dd mmm yyyy (e.g. 22 June 1992)
Your answer
Address and contact details
Building and / or street number
Your answer
Town or suburb
Your answer
Postal code
Your answer
Postal code
Your answer
Home phone number *
Your answer
Mobile phone number *
Your answer
Email address *
Your answer
Terms and Conditions of membership
By accepting these terms you are formally binding yourself to respect the rules set by WPS. Tick the 3 boxes to accept the terms.
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I hereby formally apply for membership of Western Province Surfing and agree to abide by the Constitution, Bylaws and rules of Western Province Surfing. Furthermore, in consideration of your acceptance of my application, I hereby release the sponsors, the members or agents and any officials from all liability for injuries and damages whatsoever arising from my participation in or traveling to events run under the auspices of WP Surfing or SSA. Release is inclusive of photographs and moving pictures and I furthermore agree to co-operate with sponsors in the promotion of their products whenever and wherever possible to the mutual advantage of all connected. I also agree to abide by the rules of the contests and fully realise that should I surf in the contest area during the competition I will be disqualified from that particular trial and the following WP contest without having fees refunded. I am aware of the dates, deadlines and rules.
Required
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In consideration for my being able to participate in Western Province Surfing Events (hereinafter the "EVENTS"): I state I am a sufficiently experienced surfer, familiar with all the hazardous conditions which may exist in connection with surfing EVENTS. I am aware that there are hazards that may exist in connection with my participation in such competitions and I voluntarily participate in these activities with knowledge of those hazards. I further state that I hereby assume the risk for any injuries that I may sustain in connection with my participating in the EVENTS. I hereby fully release and forever discharge Western Province Surfing Association (WPS), SSA), SSA Officials and Directors, Sponsors of the EVENTS, City, Municipality and Province and where applicable, their respective agents and employees from all claims, damages, actions, suits or judgments that may result from any type of injury I may sustain while participating in the EVENTS. I hereby indemnify and hold harmless WPS, SSA, Sponsors of the EVENTS, City, Municipality and Province and where applicable, the sponsors, and their respective agents, employees, successors and assigns from any injury or death so sustained. I also assign to the promoters of said EVENTS WPS, SSA, Sponsors of the EVENTS, City, Municipality and Province, where applicable, the exclusive commercial use of all photographs and photographic reproductions, television broadcast and motion pictures taken of me during the EVENTS, whether in or out of the water. I also agree to conduct myself in a professional sportsmanlike manner prior to, during, and after the EVENTS and while I am in the vicinity of the EVENTS. I will not engage in any surfing activity near the contest area, unless authorized to do so, during the EVENTS. I have had an opportunity to be apprised of and reviewed all the rules and regulations applicable to the competition and understand that any violation of these rules, or any unsportsmanlike conduct, will be cause for penalties which may take the form of a warning, a fine, or immediate disqualification from the EVENTS. These decisions will be taken in accordance with the Rules and Regulations of SSA as well as the Contest Director and/or the SSA Board of Directors. I also agree to compete and appear in competition attire provided by the sponsors from time of issue until completion of competition and during awards presentations. Participating in the EVENTS and thereby indemnifies and holds harmless WPS, SSA. The undersigned verifies his/her agreement to accept any and all risk of injury or death arising out of or related to the EVENTS by signing this release form. Knowing and Voluntary Execution I have carefully read this agreement and fully understand its contents and I am aware that this is a release of liability and a contract between myself and WPS, SSA, Sponsors of the EVENTS, City, Municipality and Province and where applicable, their respective directors, shareholders, agents, employees, successors, assigns and affiliated organizations. I sign this agreement of my own free will.
Required
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The undersigned represents that if he/she is under the age of eighteen (18) at the date of application, that he/she has the authorization of his/her parents/guardian to make this membership application. Accordingly, in providing this authorization, the parent/guardian agrees to be bound to the same terms, conditions, rules and governance applicable as if that parent/guardian is a member in their own right.Should the person making this application misrepresent the authorization of his/her parents/guardian, any membership granted will be suspended and all results prior to the rectification of the requirements of this clause will be cancelled unless the committee determines otherwise.
Required
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