Personal data
Surname *
Prefix
Firstname *
Initials *
Date of birth
*
*
Country *
Zip code *
House number *
Street
City
Telephone
Mobile
[emailhelp]
Email *
Invoice email
Passport photo
Max. 8 MB. Dimensions min. 300 x 400 px. Different dimensions will be cropped to the middle of the picture.
IBAN nr. *
Name account holder
Activities
GolfCategory*
[gf_leaguenr]
[gf_value01]
HockeyCategory*
Referee number
TennisCategory*
KNLTB number
Playing strenght ankle
Playing strenght dubble
Questions
ID-data
members 15 years and older must have a copie id of their parents/i>
Identitycard:
Number:
 
Direct debit agreement
*I as a member of the Kievitensports club authorise De Kieviten to send recurring direct debit orders to my bank
to debit an amount from the above IBAN because of the annual contribution
and if specified other association contributions.
If a member is younger than 18, his / her parent / guardian declares to agree with the above authorization
Signature of player / parent / guardian*
Please enter your name, it is considered a signature
 
If less than four years ago, a KNVB transfer form must be completed by both associations
This must be done before June 15 prior to the season.
This form is available from the member administration.
 
Knowledge statutes
*By ticking the attached checkbox you indicate that you have read the articles of association of De Kieviten.
The articles of association are provided on request.
 
Personal data
Your data will not be shared with third parties for commercial use.
If this does happen, permission will be requested in advance.
If necessary, relevant data will be exchanged with third parties that are necessary for membership-related matters.
Before entering into membership, statement of approval is obligated.
*I agree with this
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