Registration Membership

     

    Preferred name

     

    Official given names

     

    Surname prefix

     

    Surname

     

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

     

    Date of birth (YYYY-MM-DD)

     

    Sex
    FemaleMale

     

    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 practice aikido and to abide the house rules.

     

    Name guardian, when under age of 18

     

    Telephone number guardian, when under age of 18

     

    Email address guardian, when under age of 18

     

    Privacy policy
    I agree to how my data is being processed.

     

    Safety question