Collegians' Harriers – 2026 Membership Application

Collegians Harriers – 2026 Membership Application
Member Details
First Name*
Last Name*
ID/Passport Number*
Please fill in 13 Digit ID or Passport Number, or first 6-digits of ID
DateofApplication

DayMonthYear
Date
Date of Birth*

DayMonthYear
Date
Gender*

FemaleMale
Phone Number
Please enter a valid phone number.
Email*
example@example.com Your email address will be used to send confirmation of registration
Ageindays
Age
JoinDate
Parent/Guardian Name*
If Junior member, please provide guardian details
Parent/ Guardian Contact Number*
Please enter a valid phone number.

Membership Status
Existing Member (2024/2025)*

YesNo
Consents and T & Cs
Membership Fees
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Membership Category Existing*
New Member Notice
If you were a member of another club in 2025, please upload a clearance letter

Alternately email it to licencing@collegiansharriers.co.za
Cancelof
New members are required by the Collegian's Club to fill out the following.

Please filll out and email when you get a chance.

Senior Members -

https://form.jotform.com/collegiansharriers/collegians-club

Junior Members -

https://form.jotform.com/collegiansharriers/collegians-club-junior

The links are also on the website and also visible at the end of this signup.
Membership Category New*
Family Discount
(Senior Members Only Max 2 per family)
ASA Licence
Once-Off: New member club card - R55

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Total fees Due

Payment
paymentURL
Total fees Due
Total Payable
PAYMENT OPTIONS:

1) Online Payment (Yoco Payment via Credit Card)

Click here to make a payment: {paymenturl}

(Please Note: A new tab will open for payment, please return to this page after completing your Yoco payment, to finalize your application by selecting the "Submit" button at the end. Alternatively you will be emailed a payment link after submitting your membership)

2) EFT (Electronic Funds Transfer)

Bank: Nedbank Savings
Account Number: 1343046556
Reference: SUBS 2026 – YOUR NAME

3) Cash Payment

Pay in cash at the bar on Tuesday at Herman's Delight.
Please indicate how you paid(will pay), so we can find the payment, you are welcome to Submit first then pay, an email will be sent to you with all registration details and payment link.

Card (Yoco)EFTCash (Pay in-person at the club - Herman's Haunt)

Collegians Harriers – 2026 Membership Application