Personal data
Surname*Prefix
Firstname*Initials *
Date of birth* * *
Country*
Zip code*House number *
StreetCity
Telephone*Mobile
Email
[emailhelp]
*
Passport photo
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
Activities
ProjectgroepCategory*
Questions
Only for CPC-trainingen: target distance:
5 KM 10 KM 21 KM
 
Preferred Language:*
Phone number in case of emergency (ICE):
Contact name in case of emergency (ICE):
How do you know about us:*
 
Personal data
Your data will not be provided to third parties for commercial use.
However, relevant data will be exchanged with the National Athletics Union.
Agreement is required for a membership.
*I agree to this
 
Agree to direct debit authorization
*I hereby authorize The Hague Road Runners to send recurring direct debit instructions to my bank due to the annual
membership fee.
 
Notes
Below you can mention any matter that is important for project membership.
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