Help us understand who you are so we can connect you with accommodations that truly meet your needs. This takes about 3 minutes. Your information is stored securely and never sold.
Personal Details
* First Name
Please enter your first name.
* Surname
Please enter your surname.
* Gender
Please select a gender.
Race (optional — for demographic reporting)
* Year of Birth
Please enter a valid year of birth (1920–2010).
* Residential Town / City
Please enter your town or city.
* Province
Please select your province.
Cellphone Number (optional)
* Email Address
Please enter a valid email address.
Mobility Aid
* What type of mobility aid do you use?
Select all that apply.
Please select at least one option.
Travel Preferences
* What types of accommodation do you typically use?
Select all that apply.
Please select at least one accommodation type.
* Would you like to receive updates and communications from Access Assured™?
We may occasionally share accessibility news, certified accommodation listings, and travel tips.
Please select an option.
Disclaimer & Consent
POPIA Consent & Communications
Access Assured™ collects your personal information solely for the purpose of maintaining a traveller registry, improving accessible accommodation listings, and (where you have opted in) sending you relevant communications.
Your information will not be sold, shared with third parties for marketing, or used for any purpose beyond the above. You have the right to access, correct, or request deletion of your personal data at any time by contacting info@accessassured.co.za.
By submitting this form you confirm that the information provided is accurate and that you consent to Access Assured™ storing and processing your data in accordance with the Protection of Personal Information Act (POPIA).
* I consent to the above
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You're in the registry!
Thank you for registering with Access Assured™. Your profile has been saved.
We'll use your information to help match you with accessible accommodation that suits your needs.