JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Hermanus Chess Club Membership Form
Sign in to Google
to save your progress.
Learn more
* Indicates required question
First Name
*
Your answer
Last Name
*
Your answer
Contact Number
*
Your answer
Email Address
*
Your answer
Chessa ID (
https://chessa.co.za/ratingsdatabase/ratingsdatabase.aspx
)
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Age Group
*
Youth (19 years and younger)
Adult (20 years and older)
Senior (55 years and older)
Disability
*
Yes
No
Gender
*
Male
Female
Other:
Online Username (
chess.com
or
lichess.org
)
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
