Personal data
Surname *
Firstname *
Initials *
Date of birth *
Place of birth
Country *
Zip code *
House number *
Invoice email
Passport photo
(Note: do not upload a copy of your ID)
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
Direct debit agreement
*I hereby authorize VJB Smoke Eaters to send continuous direct debit orders to my bank
to debit an amount of the above IBAN for payment of the contributions and other association
contributions if specified.
If the member is younger than 18, his/her parent/guardian declares to be in agreement
with the above mentioned authorisation.
Signature player/parent/caretaker*
Please fill in your name, this is considered as a signature
Icehockey history
Played at another club?
Name of previous club
Date of last played match
Registration for team: *
Statement of Agreement
*By ticking the attached checkbox you indicate that you have taken note of the articles
of association of VJB Smoke Eaters..
Your data will not be exchanged with third parties for commercial use. If this does happen,
permission will be requested in advance.
*However, if necessary, relevant data will be exchanged with third parties that are necessary
for membership-related matters. Prior to becoming a member, a declaration of agreement
is required.
Providing and storing a copy of passport (only for players with a non-Dutch nationality)
Providing and storing a copy of passport (only for players with a non-Dutch nationality)
Providing and storing special (medical) personal data, (if applicable), for the purpose of
providing medical support in case of emergency.
Store biometric data (results of movement tests, measurement and weighing moments) for
the purpose of development /progress monitoring.
Providing personal data to Ijshockey Nederland (Dutch Icehockey association) for transfer requests
(name and address, date of birth, passport photo, copy of passport, old club)
You will be asked by someone from the VJB Smoke Eaters for a copy of the ID. So do not
upload a copy of the ID here.
Permission photo/film material:
Making photo/film material during training sessions, matches, events for publication on the
website, promotional materials and social media.
I agree to this*Enter your name here
All data entered will be used in accordance with the privacy policy.
Stored and provided personal data as well as the consent granted for their use are kept
during the membership and then stored in the financial administration for a maximum of 7 years.
Consent may be withdrawn at any time by the member or legal representative.
The undersigned declares to have taken note of the articles of association,
the internal regulations and the code of conduct of the VJB.
The undersigned provides a continuous direct debit authorization to the VJB to collect the
due contribution in installments and any fines resulting from imposed game
misconducts and match penalties from the IBAN mentioned above.
In the case of collection in monthly installments, the fixed annual contribution is collected in
monthly installments in the months of June till May.