DHS Old Boys Registration 2020
PLEASE READ THIS FIRST:

Note 1: If you get a blank screen after completing this form DO NOT fill it in again. Your data will be captured. If you are unsure, send an email to captain@dhsoldboys.co.za

Note 2: You are NOT REQUIRED to fill out an ASA form.

Note 3: Take care as your data will be captured EXACTLY how YOU input it.

Note 4: Total payment will NOT be automatically calculated - please ensure you input the final amount correctly and pay accordingly.
Email address *
Personal Information
Please DON'T use ALL CAPS. Stick to traditional format. eg: Jane Smith
First Name *
Your answer
Surname *
Your answer
Gender *
I.D. Number *
Your answer
Date Of Birth *
MM
/
DD
/
YYYY
Contact Information
It is important that you supply the information for the channels through which you will receive club news and info in order to be kept up to date with everything.
Mobile Number (Start with 0 and don't leave any spaces) *
Your answer
Alternative phone number (Start with 0 and don't leave any spaces)
Your answer
Next Of Kin
In case of emergency
Name & Surname *
Your answer
Relationship *
Their mobile number (Start with 0 and don't leave any spaces) *
Your answer
Running Club Information
2020 Membership *
Joining As *
ASA Age Category *
ASA Licence Number
New members to leave this section blank.
The renewal of your exact same license number is not guaranteed. However, those registering and paying early will receive preference should the ASA supply the club with the same batch of numbers.
If you are joining from another club or province, please still include your 2019 number below.
Your 2019 Licence Number
Your answer
2020 Licence Number *
Comrades & Two Oceans
This information helps us to plan all sorts of things
Do You Intend Running The Comrades Marathon in 2020? *
What is your Comrades PB
Time
:
Do You Intend Running The Two Oceans Marathon in 2020? *
Marathons & Half Marathons
Just some information we'd like for our records, please.
Which Marathon Do You Intend Using For your Ultra Qualifier? (Write 'not applicable if you are not running an ultra) *
Your answer
Your Marathon PB
Time
:
Your Half Marathon PB
Time
:
Helping Out At Oldies
There are various events throughout the year that require the assistance of our members. Some once-off and some ongoing. The more people that offer their assistance, the less frequent the individual need.
Please indicate below as to how you'd be willing to assist the club and it's committee from time to time. You may select more than one.
Payment
Please remember to supply a PROOF OF PAYMENT to admin@dhsoldboys.co.za

Your club membership also includes your ASA licence and an affiliation to Northwood Crusaders.

It does NOT include kit. Kit is available from The Durban Runner in Morningside

If you intend becoming a FULL MEMBER of Crusaders Sports Club in 2020 (Second option below) you will need to submit evidence of this membership to qualify for the reduced Oldies membership fees.

Remember that the system will not add up your payment options below - you will need to provide a final figure.
Club Fees *
Social Responsibility Contribution to help a less fortunate runner. *
Totals
Please take care to add correctly
Membership Due *
Social Responsibility Contribution Amount
Your answer
TOTAL PAYMENT DUE *
Your answer
Payment Method *
Required
What Payment Reference Will You Use? *
Your answer
BANKING DETAILS
DHS Old Boys Athletics
First National Bank—Durban North
Account Number: 5079 181 26 86
Branch Code: 220 426
Terms & Conditions
I hereby apply to become/remain a member of Durban High School Old Boys Athletics Club (The Club) and agree to abide by the rules and Constitution of the Club and to notify the Club Secretary if any of the above details change during the period of my membership. I bind myself to, and will adhere to, all decisions made by the Durban High School Old Boys Athletics Club Committee.
I acknowledge that participation in all runs is undertaken entirely at my own risk. I absolve the Club against any claims that may arise directly or indirectly as a result of my participation in such events and hereby agree to indemnify the Club in full against any claims which may be made against it arising there from.
I agree to the Terms & Conditions as laid out above *
Required
A copy of your responses will be emailed to the address you provided.
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