Individual Membership Registration Form

For the new season 2021-2022 we are updating our registration form to be online entries. Please complete the following sections ID No. (individual membership registration Number) and we need you to upload your photo (image) Data Protection: By completing this form you would need to give consent & permission to held your information and used for strictly by the CINA (Cayman Islands Netball Association). Your information will not be used or sold to a third party or person. For your detail can be deleted on written confirmation. Whats capacity the committee needs to keep the membership numbers from 00000 to 00010. individual membership should id> number with letters to ideniftify their involvement A=Association, C=Coach, U=Umpire, P=Player, O=Official, T=Teacher, Volunteer.

Individual Membership Registration Form( Deadline for submission of registration forms is 30th October 2021 )

ID NO :
Club Name :
Upload Photo :
First Name:
Surname :
Contact Address :
Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry
Telephone Number :
Emergency Contact Number :
Email
Please tick the appropriate box
Club Umpire :

Parential & Guidance Consent

Name:
Telephone Number :
Email
Address
Address, if different please complete email and telephone numberStreet AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry

Status

Education :
Employment :
Part-time employment:
Student :
Others:
Nationality :
Are you an official?
Qualification :
Would you be interested in being an official for CINA development programme?

Verification

Please enter any two digits *Example: 12
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