Personal data
Surname
*
Prefix
Firstname
*
Initials
*
Date of birth
*
Female
*
Male
*
Place of birth
Nationality
Nederlandse
Afgaanse
Alandse
Albanese
Algerijnse
Amerikaanse
Andorrese
Angolese
Anguilla
Antarcticaanse
Antiguaanse
Argentijnse
Armeense
Arubaanse
Australische
Azerbeidjaanse
BIO
Bahamese
Bahreinse
Bangladese
Barbadose
Belgische
Belize
Benin
Bermuda
Bhutaanse
Boliviaanse
Bosnische
Botswanese
Bouvet
Braziliaanse
Britse
Bruneise
Bulgaarse
Burkina Faso
Burundi
Cambodjaanse
Canadese
Caribisch Nederland
Centraal Afrika
Chileense
Chinese
Christmaseiland
Cocoseilanden
Colombiaanse
Comoren
Congo-Brazzavil
Congo-Kinshasa
Cookeilanden
Costa Rica
Cuba
Curacao
Cypriotische
Deense
Djibouti
Dominicaanse
Dominicaanse Re
Duitse
Ecuador
Egyptische
Equatoriaal-Gui
Eritreese
Estse
Ethiopische
Faeroer
Falklandse
Fiji
Filipijnse
Finse
Frans Polynesie
Frans-Guyana
Franse
Franse Zuidelij
Gabonese
Gambiaanse
Georgiaanse
Ghanese
Gibraltar
Grenada
Griekse
Groenlandse
Guadeloupe
Guam
Guatemala
Guernsey
Guinee
Guinee-Bissau
Guyanese
Haitiaanse
Heard en McDona
Hondurese
Hongaarse
Hongkong
Ierse
Ijslandse
Indiase
Indonesische
Iraanse
Irakeese
Israelische
Italiaanse
Ivoorkust
Jamaicaanse
Japanse
Jemenitische
Jersey
Jordanese
Kaaimaneilanden
Kaapverdische
Kameroense
Kazachse
Keniase
Kirgizi
Kiribati
Kleine Pacifisc
Koeweitse
Kroatische
Laos
Lesotho
Letse
Libanese
Liberiaanse
Libische
Liechtenstein
Litouwse
Luxemburgse
Maagdeneiland
Macau
Madagaskar
Malawi
Maldiven
Maleisische
Malinese
Malta
Man
Marokkaanse
Marshalleilande
Martinique
Mauritanie
Mauritius
Mayotte
Mexicaanse
Micronesia
Moldavi
Monaco
Mongolie
Montenegro
Montserrat
Mozambique
Myanmar
Namibie
Nauru
Nederlandse Antillen (vervallen)
Nepalese
Nicaragua
Nieuw-Caledoni
Nieuw-Zeeland
Niger
Nigeria
Niue
Noord-Koreaanse
Noord-Macedoni
Noordelijke Mar
Noorse
Norfolk
Oeganda
Oekraïense
Oezbekistan
Oman
Oost-Timor
Oostenrijkse
Pakistaanse
Palau
Palestina
Panamese
Papoea-Nieuw-Gu
Paraguayaanse
Peruaanse
Pitcairneilande
Poolse
Portugese
Puerto Ricaanse
Qatar
Roemeense
Russische
Rwandese
Réunion
Saint Kitts en
Saint Lucia
Saint Vincent e
Saint-Barthelem
Saint-Pierre en
Salomonseilande
Salvadoraanse
Samoaanse
San Marino
Sao Tome en Pri
Saoedi-Arabisch
Senegalese
Servische
Seychellen
Sierra Leoonse
Singaporaanse
Sint Maarten
Sint-Maarten
Sloveense
Slowaakse
Soedanese
Somalische
Spaanse
Spitsbergen en
Srilankaanse
Surinaamse
Swaziland
Syrische
Tadzjikistan
Taiwanese
Tanzaniaase
Thaise
Togolese
Tokelau
Tongaanse
Trinidad en Tob
Tsjadische
Tsjechische
Tunesische
Turkmeense
Turks- en Caico
Turkse
Tuvalu
Uruguayaanse
Vanuatu
Vaticaanse
Venezolaanse
Verenigd Konink
Verenigde Arabi
Vietnamese
Wallis en Futun
Westelijke Saha
Wit-Russische
Zambiaanse
Zimbabwaanse
Zuid-Afrikaanse
Zuid-Georgia en
Zuid-Koreaanse
Zuid-Soedanese
Zweedse
Zwitserse
Country
Nederland
België
Duitsland
*
Zip code
*
House number
*
Street
City
Telephone
Mobile
Email
*
Invoice email
Passport-style photo (headshot)
Select file
*
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
Questions
Information about previous season
Did you train or play last year:
(please select)
Yes
No
*
Which club did you play for?
Are you a Player or Goalie:
(please select)
Player
Goalie
*
Which team do you want to register for?
U7
U9
U11
U13
U15
U17
Junioren
Eerste divisie
Sweetlake Legends
Sweetlake Legends - Trainingslid
Panters 2
Panters 2 - Trainingslid
Panters 2 - Scrimmage
Wild Panters
Wolfhunters
Untamed Panters
Direct debit agreement
I hereby authorize Zoetermeer Panters to send continuous direct debit orders to my bank to debit an amount from the above IBAN for the annual contribution and, if specified, other association contributions.
I hereby authorize Zoetermeer Panters to charge the annual contribution once.
If a member is under 18, his/her parent/guardian declares that he/she agrees with the above authorization.
Signature of player/parent/guardian
*
Please fill in your name, this will be considered as your signature
Volunteers
Zoetermeer Panters is run by volunteers. Together we try to make ice hockey even more fun and you get to know a lot of people.
We also try to use the capacities of members and parents as much as possible. Even if you have little time, we like to involve everyone at Zoetermeer Panters.
We will contact you soon to see what you/your parent(S) would like and could do for the club.
You can already indicate below what you would like:
Management
Supervisor team
Ice hockey technical matters (e.g. trainer)
Sponsorship affairs
Organization (parties/events)
Accommodation maintenance
Otherwise i.e.
Knowledge of statutes
*
By checking the enclosed checkbox you indicate that you have taken note of the articles of association of Zoetermeer Panters.
Personal data
Your data will not be exchanged with third parties for commercial use. If this is necessary, persmission will be requested in advance.
However, if necessary, relevant data will be exchanged with third parties that are required for membership-related matters. To enter into membership, consent to this is required.
*
I agree with this
Comment