All Fields are Required!

Does the member have any allergies or medical conditions?

NoYes

Single-parent / sole-custody declaration

I am the child’s sole legal custodian

Privacy notice

I have read the ZAK Malta Privacy Policy

General Member Agreement

I have read and agree to the General Member Agreement

Leadership Agreement

I have read and agree to the Leadership Agreement

Parental Agreement

I have read and agree to the Parental Agreement

Proof of sole custody

Choose document

Draw your signature in the box using a finger, stylus, mouse, or trackpad.

Member’s passport-style photo

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Member’s ID Number*

Member’s First Name*

Member’s Last Name*

Member’s Birth Date*

Is the member applying 18 and over?*

NoYes

Sex*

MaleFemale

Prefer not to say

Nationality*

Home No./ Name*

Street*

Locality*

Post Code*

Maltese Landline Number (optional)

Maltese Mobile Number*

Email Address*

Health items

Centre and Age Group*

Are you a leader of a group?*

YesNo

Pick which group/s you are a leader of*

ID Number (Emergency Contact)*

First Name (Emergency Contact)*

Last Name (Emergency Contact)*

Sex (Emergency Contact)*

FemaleMale

Prefer not to say

Nationality (Emergency Contact)*

Maltese Mobile Number (Emergency Contact)*

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*

Maltese Mobile Number — Parent / Guardian 1*

Email Address — Parent / 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*

Maltese Mobile Number — Parent / Guardian 2*

Email Address — Parent / Guardian 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.

Only fill in if you are not human

Payment method *

Pay online — €10 per year
Pay through Stripe. Membership renews automatically each year until automatic renewal is cancelled. Pay in cash — €10 for one year
Pay your ZAK leader or coordinator in person. The membership year starts when you submit registration. Cash renewal requires another payment.

Membership becomes active after payment confirmation and ZAK approval.