Personal data
Surname *
Firstname *
Initials *
Date of birth *
Place of birth
Country *
Zip code *
House number *
Mobile *
Email *
Invoice email
"profile picture (picture as on your passport)"
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
Additional information
Phone number parent 1
Phone number parent 2
Phone number in case of emergency
I'm signing up for:
Are you trying to register for the Intro Course? Please complete this form instead!
I am a student (only applicable for Senior memberships)
In case you are a student, please send a picture of your student card to
Agreement automatic payment
*I hereby authorize the Amstelveense Rugby Club to send standing orders to my bank
to debit an amount from the above IBAN for the annual membership fee
and, if specified, other association contributions.
For the 2023-2024 season (current season), the contribution invoice will still be sent by email and must be transferred manually.
Direct debits will only be introduced from season 2023-2024.
If a member is younger than 18, their parent/guardian declares to agree with the above authorization.
Signature player/parent/guardian*
Please enter your name, it will be considered as a signature
The Amstelveense Rugby Club runs on volunteers.
Together we try to make sports 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 don't have much time, we like to involve everyone in the Amstelveense Rugby Club.
We will contact you shortly to see what you/your parent(s) would like and be able to do for the club.
You can already indicate below what you would like to do:
Board member
Youth staff
Sponsoring committee
Organisation (parties/events)
Previous experience
Have you played at another rugby club?
Name previous rugby club:
Knowledge of house rules
*By checking the attached checkbox you indicate that you have taken note of the household regulations of Amstelveense Rugby Club
Personal details
Your data will not be shared with third parties for commercial use.
However, if necessary, relevant data will be exchanged with third parties that are necessary for membership-related matters.
Agreement is required before entering into membership.
*I agree