Adaptive Surfing South Africa Membership Application
Anyone can become a member of ASSA. We have two types of membership:

Active Member:
Becoming an active member will entitle you to stand for election on the board of ASSA and entitle you to vote at our AGM. (or any special meeting)
Anyone applying to be an active member must currently be in good standing with the ASSA.
Note that the membership only becomes effective after receipt of the proof of payment (R75.00) OR if you commit to volunteering to at least 1 of our events in the next calendar year.

Social Membership:
This is just for those who are interested in passively being involved. We will keep you up to date on news, events etc.
There is no charge or obligations.

First Name *
Your answer
Surname *
Your answer
Email *
(we respect your privacy)
Your answer
Mobile Number *
Please use the country preface. (e.g +27824511....)
Your answer
Address *
An area is fine.. (e.g Cape Town, Scottburgh etc.)
Your answer
ID Number *
Your answer
Type of Membership *
Tick 1 below...
Membership fee or Volunteer? *
If you chose Active Member above please choose one of the below..... Please note: you are welcome to volunteer at any of our events and we will keep you posted.
Do you live with a disability?
If yes please specify...
Your answer
Do you surf or ride waves?
If yes, how?
Shortboard, Longboard, Bodyboard, Waveski, SUP, Bodysurf etc...
Your answer
Terms and Conditions of membership *
By accepting these terms you are formally binding yourself to respect the rules set by ASSA. Tick the box below to accept the terms. I hereby formally apply for membership of ASSA and agree to abide by the Constitution, Bylaws and rules of ASSA. 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 ASSA or Surfing South Africa. 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. Membership is based on a calendar year (1st Jan to 31st December).
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service