Personal data
Surname *
Prefix
Firstname *
Initials *
Date of birth *
*
*
*
Place of birth
Nationality
*
Country *
Zip code *
House number *
Street
City
Telephone
Mobile *
[emailhelp]
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
Questions
Additional information
Phone number parent 1
Phone number parent 2
Phone number in case of emergency
 
Membership
I'm signing up for:
Are you trying to register for the Intro Course? Please complete this form instead!
NB Recreational membership does not apply to youth members.
I am a student (only applicable for Senior memberships)
In case you are a student, please send a picture of your student card to ledenadministratie@arcrugby.nl
 
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.
If a member is younger than 18, their parent/guardian declares to agree with the above authorization.
 
Instalments
We offer the possibility to pay the membership fee in instalments
When registering for a new season, these will be debited in five equal instalments in August, September, October, November and December.
When registering during the season in consultation with the treasurer.
For payment in instalments, an administration fee of EUR 5 is charged.
I would like to pay the contribution in instalments.
Volunteers
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:
Barshift
Board member
Youth staff
Sponsoring committee
Organisation (parties/events)
Maintenance of clubhouse
Other
 
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
 
Signature
I hereby declare that the information provided is true and correct.
Signature player/parent/guardian*
Please enter your name, it will be considered as a signature
Comment