Registration Membership


    Preferred name


    Official given names


    Surname prefix




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


    Date of birth (YYYY-MM-DD)






    Postal code




    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


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