Registration Membership


    Calling name ◆


    Official given names ◆


    Surname prefix


    Surname ◆


    Place of birth (also country when outside of the Netherlands) ◆


    Date of birth (YYYY-MM-DD) ◆


    Sex ◆


    Address ◆


    Postal code ◆


    City ◆


    Telephone number ◆


    Email address ◆


    Number U-pas or students card


    Expiration date U-pas of students card (YYYY-MM-DD)


    Registration date (first training after trial month YYYY-MM-DD) ◆


    By submitting this form, the above person applies for membership of Sanshinkai Aikido Utrecht and after being admitted accepts the rights and obligations as formulated by statuary law and rules and regulations. This person also states to be physically and mentally healthy enough to practise aikido, to abide the house rules and be at least 14 years of age.


    Name guardian, when under age of 18


    Telephone number guardian, when under age of 18


    Email address guardian, when under age of 18


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    Safety question ◆


    All fields with ◆ are required.