Registration - ZAK Malta

Passport Photo

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ID Number

First Name*

Last Name*

Birth Date*

Please confirm that you are at least 18 years old

NoYes

Sex

MaleFemale

Prefer not to say

Nationality

Home No./ Name

Street

Locality

Post Code

Phone Number*

Mobile Number*

E-mail Address*

Allergies & Medical Conditions

Centre and Age Group

Are you a leader of a group?

YesNo

Pick which group/s you are a leader of

ID Number (Next of Kin)

First Name (Next of Kin)

Last Name (Next of Kin)

Sex (Next of Kin)

FemaleMale

Prefer not to say

Nationality (Next of Kin)

Mobile (Next of Kin)

ID No - Parent 1 / Gaurdian 1

First Name - Parent 1 / Guardian 1

Last Name - Parent 1 / Guardian 1

Sex - Parent 1 / Guardian 1

FemaleMale

Prefer not to say

Nationality - Parent 1 / Guardian 1

Mobile - Parent 1 / Guardian 1

ID No - Parent 2 / Gaurdian 2

First Name - Parent 2 / Gaurdian 2

Last Name - Parent 2 / Gaurdian 2

Sex - Parent 2 / Gaurdian 2

FemaleMale

Prefer not to say

Nationality - Parent 2/ Guardian 2

Mobile - Parent 2 / Gaurdian 2

Definitions of all the documents below can be found in the Agreement Definitions page.
The data protection and data usage agreement can be found under the GDPR Agreement page.
I am declaring that I am going to participate as a member of the group and center that I chose, and I am committing that I will participate fully in the group's life. General Member Agreement

I hearby declare that I agree with the terms listed in the document Leadership Agreement and I am willing to offer my service as a Leader/Co-Leader

I/We as parents/guardians declare that:

Declare that we agree with the terms mentioned in the General Member Agreement, and Parental Agreement
All the information provided is correct to the best of our knowledge;
I/we provided all the information, including medical information, that I/we deem necessary for the leaders to know, in the best interest of our child’s safety, and if the medical condition of my/our child changes, we undertake to pass on to the leaders any relevant information;
I/we are legally recognised as the custodians of the person who is applying for membership in ŻAK
This part is only valid for those families where the legal custody of the child is entrusted to two parents/guardians. We, parents/guardians give consent to each other to sign consent forms for activities in ŻAK/AKM. This means that the signature of one of us is sufficient to give consent to our child to participate in activities organised by ŻAK/AKM.

Signature - Member

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Signature - Parent 1 / Guardian 1

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Signature - Parent 2 / Guardian 2

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