2020 JSC Membership Form
Please complete and submit this membership form.

Membership fee : R850.
This will be added to your Jump Account.
When making payment use reference: Full name & 2020 Member.

AGM will be held on 15th February 2020 - you need to be a 'Paid-up' member to be able to vote.
Title *
Required
Name & Surname *
Your answer
Address *
Your answer
Cell Number *
Your answer
Email Address *
Your answer
ID Number (Passport Number) *
Your answer
Occupation *
Your answer
Medical Aid Details, Plan & Number *
Your answer
Next Of Kin & Contact Number *
Your answer
Reserve Repack Date *
MM
/
DD
/
YYYY
Weight *
Your answer
Canopy Size *
Your answer
PASA Number *
Your answer
Time in Sport *
Your answer
Number of Jumps *
Your answer
Existing Licence *
Your answer
Current Ratings *
Required
Medical : Do you suffer or are you being treated for any of the following - please tick relevant blocks *
Required
Medical : Briefly describe above injuries if any
Your answer
Substances: Are you currently on any medication and what medication?
Your answer
Substances : Are you currently addicted to alcohol and/or drugs? *
If yes to above, briefly describe
Your answer
Blood Type & Allergies *
Your answer
By ticking yes below you agree to the T&C's on the JSC website and thereby confirming your JSC membership at R850 yearly fee *
Required
CABIN OWNERS - 2020
Are you a cabin owner? *
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