• General
    • Indemnity
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    Last Name

    Date of Birth

    Email Address

    Cellphone Number

    Home Number

    Work Number

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    Registration Process

    Athlete Registration and Affiliation


    Cape Winelands MPA -Indemnity Form


    Follow the below easy steps to become a registered affiliate with the Cape Winelands Modern Pentathlon Association. After all documentation has been submitted you would receive your new online account to pay for your membership fees and selected disciplines for the upcoming year.

    1. Download Both PDF Files Above, Fill-in Sign and scan back to your computer.
    2. Return to our website and return to the registration screen.
    3. In the form on the left (top on mobiles) continue to fill in your details then select next
    4. Agree to the Indemnity Agreement and click next
    5. Upload your signed documents and click submit

    Once the above process has been followed you will receive and email from the committee members welcoming you to the association, in the welcome email you would also find a link to “Pay Now” to pay for your subscription online, Alternatively you can EFT your registration fees and reply to the Welcome Email with your Proof of Payment for allocation. Below you will find the Bank details:

    EFT Reference: Surname + Name (eg. Smit Johan)
    Boland Modern Pentathlon
    Nedbank Acc. 1470 100 258
    Branch Code 147005

    Along with the Welcome Email you will receive an Email with your username and unique, secure Password, you can change this password after you login and go to your profile.