Registration Form E.S.K.V. Attila
Eindhoven Student Korfball Association Attila
Full Name
*
First Name
Last Name
Gender
*
Please Select
Male
Female
Prefer not to say
Date of Birth
*
-
Day
-
Month
Year
Date
Contact Number
*
-
Country Code
Phone Number
Email Address
*
Preferably a gmail account
Address
*
Street + Number
Street Address Line 2
City
Postal / Zip Code
Study institution
Sports card number (SSC)
You can find this on your personal account at ssceindhoven.tue.nl
Membership
*
Please Select
Training Member
Active Attilian
Midweek member
Weekend competition member
Yearly contribution: Weekend competition member €125,-; Midweek member: €85,-; Active Attilian: €40,-; Training member: €20,-. All amounts are subject to change.
I register for the year
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I agree with and have read the privacy policy of E.S.K.V. Attila. https://drive.google.com/file/d/1hwbG1N7rj4s_4KgbJOo2o6t84X9p0M1P/view?usp=sharing
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Yes
No
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I agree that my membership will be tacitly continued every year
*
Yes
Signature
*
Place, date
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