Personal data
Surname
*
Prefix
Firstname
*
Initials
*
Date of birth
*
Female
*
Male
*
Country
Nederland
België
Duitsland
Canada
Zwitserland
Curacao
Spanje
Frankrijk
Groot-Brittannië
Indonesie
Italië
Luxemburg
Portugal
Verenigde staten
*
Zip code
*
House number
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Street
City
Telephone
Mobile
*
Email
Invoice email
Questions
Do you have family members (brother/sister/parent only) at Quick?
For what sport do you want to enrol?
football
cricket
football and cricket
Inactive
In what kind of team do you want to play?
Top-tier
Recreational
Any team will do
Is your child a goalkeeper?
yes
no/no preference
Are you/have you been a member of another club
Yes
No
If yes, which club:
What year and team?
This data will only be stored for waiting list management purposes and not be shared with others.
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