Registration Membership

    Calling name

    Official given names

    Surname prefix

    Surname

    Place of birth

    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. He or she 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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