MSRVSAURUS · AllUnited

Personal data

Surname *

Prefix

Firstname *

Initials *

Date of birth *

Female*

Male*

Other*

Country *

Zip code *

House number *

Street

City

Telephone

Mobile *

[emailhelp]

Email *

IBAN nr. *

Name account holder

Are you vegetarian?	Yes
	No
What do you study?	*
What is your studentnumber?	*
Height (in cm)	*
Weight (in kg)	*
Were you ever a member of a student or rowing association?	Yes, which:
	No
Did you ever practice any sports?	Yes, which:
	No
How many times a week did you practice?	Less than once a week
	Once or twice a week
	More than twice a week
What are you good at?	*
For what can we wake you up in the middle of the night?	*
In which aspects of Saurus are you interested in?	*
What is your 200 meter time on the ergometer?	I have done the test, my time was (in seconds):
	I do not know

Details parents/caretakers
Name	*
Address	*
City & zip code	*
Phone number	*
We only contact your parents in case of emergency.

Questions regarding introduction weekend
The introduction weekend will take place from 31th of Augustus - 3rd of September.
You are required to be present on all these days. Are you available?	Yes
	No, because:

When we decide to accept you, you will be notified on Tuesday 29/08 between 8 and 11 am via text or phone call.
We can reach you on the following phone number:	*

Medical data*:
*Medical data will only be shared with the following people:
the board, the upcoming board, the introduction committee, cooking staff, first aiders, and emergency response officers.
Do you wear glasses or contact lenses?	No
	Contact lenses
	Glasses
Do you have allergies?	*
Do you use medication?	*
Do you have injuries or any handicaps? If so, which?	*
Do you have a liability and health insurance?	Only health insurance
	Both

The undersigned agrees on voluntary basis and at his/her own risk
to participate at the introduction weekend of M.S.R.V. Saurus.
The programme of this introduction period is formed on bases of the
behavioural code of Maastricht University (the code can be found on www.maastrichtuniversity/nl).
He or she recognizes the ability to terminate his participation at any time.
The M.S.R.V. Saurus is not responsible for any damage brought to people on their properties
during the introduction and following seven weeks rowing period.
The registration fee will not be refunded in case of sudden cancellation.
Signatory declares accordance with the privacy policy of the M.S.R.V. Saurus.
By checking the following box the undersigned agrees with everything mentioned above.	*
Date of consent