HIMBA 2024 MEMBERSHIP FORM

Please fill out the form below. After submission we will review you application and send a release waiver via email for your digital signature.

HIMBA Membership 2024 and Waiver

Member sign-up form.

New HIMBA Member Name(Required)

First Last

First and Last name

Age as of today(Required)

please tell us your age.

Name of Parent or Legal Guardian of New HIMBA Member(Required)

First Last

Address(Required)

Street Address Address Line 2 City Province Postal Code

Email(Required)

Enter Email Confirm Email

2024 HIMBA Membership $20.00(Required)

$20 HIMBA Membership Fee

Membership expires December 31st 2024. If you need additional memberships please complete and submit this form, then start a new membership.

Payment Method

Phone

This field is for validation purposes and should be left unchanged.