UCMAS Randburg

UCMAS Randburg Online Enrolment:

Child's details:

Please fill in all the fields with an ‘*’ as it is compulsory to be able to load your profile on UCMS.

First Name*: Enter First Name

Email Address (For login)*: Enter Email

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Date of Birth* DD/MM/CCYY

Nationality*: Enter Nationality

Province*: Enter Province*

City*: Enter City

Postal / Zip code*: Enter Postal / Zip code

Residential Address*: Enter Residential Address

Postal Address*: Enter Postal Address

School: Enter School

National ID Number*: Enter National ID Number

Name and Surname*: Enter Name and Surname

Relationship*: Enter Relationship

Occupation*: Enter Occupation

National ID Number*: Enter National ID Number

Last Name*: Enter Last Name

City*: Enter City

Province*: Enter Province

Postal/Zip code*: Enter Postal/Zip code

Telephone*: Enter Telephone

Name and Surname: Enter Name and Surname

Relationship: Enter Relationship

Occupation: Enter Occupation

National ID Number: Enter National ID Number

Email Address: Enter Email

City: Enter City

Province: Enter Province

Postal/Zip code: Enter Postal/Zip code

Telephone: Enter Telephone

I accept the Terms and Conditions

Male

Female

T-Shirt Size: T-Shirt Size

S/M/L/XL/XXL/XXXL

Parent/Guardian’s details:

Please fill in all the fields with an ‘*’ for at least one Parent/Guardian.

Parent 1 Info*

Parent 2 Info

Photos & DVD footage:

I hereby take note that all photos and video footage taken of my child at UCMAS events might be used for promotional material by UCMAS.

I hereby fully understand and accept the Terms and Conditions of UCMAS. I undertake to absolve UCMAS and staff of any claims that may arise in connection with injury to my child / ward, in the knowledge that the staff will,

never the less, take all reasonable precautions for the safety and welfare of my child / ward.