Membershipform

Please, fill in all the necessary information. All fields marked with * are mandatory.

Surname *
First Name Initials
Address *
Postal code * City *
Phone Mobile

E-mail *
Birthdate male female

Already member of Kieviten Hockey or Golf?Yes No

Have you been a member before of the Kieviten?Yes No

If known:

Single Rating: Doubles Rating: KNLTB nr:

Yes, I'm willing to assist the tennis division with:

Competition Youth Competition Seniors Editor Tennis Ei
Board support Technical Committee Maintenance Park
Youth tournaments Senior tournaments Finance

Yes, I accept the terms & regulations*

Besides the filled in form two passport photos are required. Send them to PO Box 348, 2240 AH Wassenaar, attn. Tennisledenadministratie. Put your name on the backside of the photos.

Photos in digital format are preferred. ( JPG format )

Your photo

Additional information