SATSA Membership Application

Fields marked * are required. Your details are kept by SATSA for membership administration only and are never sold or shared outside the Association.

Personal details

Title

First name *

Last name *

SA ID number

Date of birth and gender are filled in automatically from a valid ID number.

Date of birth

Gender

Population group

Contact details

Street address *

Suburb

Postal address (if different)

City / Town *

Province *

Postal code *

E-mail *

Cell number

Other phone

Occupation / work details

Membership

I am applying as a *

Junior (under 18)

Living with a disability

Transplant details (transplant recipients)

Organ transplanted

Year transplanted

Hospital

Sport participation

Sports you take part in or would like to

Track and field disciplines

Other activities

How did you hear about SATSA?

Source

Referred by (name)

Referrer e-mail

Referrer phone

Communication and consent

You will receive confirmation once a regional representative has reviewed your application.

SA Transplant Sports Association Membership Application