NMMU Sport Club Registration Form
Step 1:  Choose your member type please? ID Number:
Year: 2017
Title: Initials
First name: Surname:
Tel. No. (H) Tel. No. (W)
Cell No. Email Address:
Gender: Date of birth:
Address in Port Elizabeth : (Current residential) Address (If you are not from Port Elizabeth):
Line 1: Line 1:
Line 2: Line 2:
Line 3: Line 3:
Line 4: Line 4:
NB: Information required for planning purposes:
Population Group:    
School attended or Campus attending Classes:    
Course studying:    
Campus:    
Year of Study:    
       
Insufficient Information:
Check to Email Student to complete
   
 
 
Please indicate the club(s) you wish to join by selecting the appropriate area. Ensure that only make one type selection per sport else the details will not be captured (either Student OR Community, not both).
Students do not pay Membership Fees with the exception of the Fitness & Aquatics Centre.
 
I indemnify the NMMU against any claim against the NMMU arising out of any injuries, loss or illness suffered or contracted by the applicant, myself or any third party representing myself or the applicant during the course of or arising out of his\her participation in sporting activities at the NMMU irrespective of the cause of such damages, illness or loss.