Personal data
Surname
*
Prefix
Firstname
*
Initials
*
Date of birth
*
Female
*
Male
*
Country
Nederland
België
Duitsland
Andorra
Verenigde Arabische Emiraten
Afghanistan
Antigua en Barbuda
Anguilla
Albanie
Armenie
Nederlandse Antillen
Angola
Antarctica
Argentine
Amerikaans-Samoa
Oostenrijk
Australië
Aruba
Alandeilanden
Azerbeidzjan
Bosnië en Herzegovin
Barbados
Bangladesh
Burkina Faso
Bulgarije
Bahrein
Burundi
Benin
Saint-Barthélemy
Bermuda
Brunei Darussalam
Bolivia
Bonaire, Sint-Eustatius en Saba
Brazilie
Bahamas
Bhutan
Birma
Bouveteiland
Botswana
Wit-Rusland
Belize
Canada
Cocos- (Keeling-) eilanden
Congo
Centraal-Afrika
Congo
Zwitserland
Ivoorkust
Cookeilanden
Chili
Kameroen
China
Colombia
Costa Rica
Tsjecho-Slowakije
Canton en Enderbury Eilanden
Cuba
Kaapverdie
Curacao
Christmaseiland
Cyprus
Tsjechië
Djibouti
Denemarken
Dominica
Dominicaanse Republiek
Dahomey
Algerije
Ecuador
Estland
Egypte
Westelijke Sahara
Eritrea
Spanje
Ethiopie
Finland
Fiji
Falklandeilanden (Malvinas)
Micronesie
Faeroereilanden
Frankijk
Metropolitaans Frankrijk
Gabon
Groot Brittannië
Grenada
Georgie
Frans-Guyana
Guernsey
Ghana
Gibraltar
Groenland
Gambia
Guinea
Guadeloupe
Equatoriaal-Guinea
Griekenland
Zuid-Georgie en de Zuid-Sandwicheilanden
Guatemala
Guam
Guinee-Bissau
Guyana
Hongkong
Heard- en McDonaldeilanden
Honduras
Kroatië
Haiti
Hongarije
Opper-Volta
Indonesie
Ierland
Israel
Eiland Man
India
Brits Indische oceaan
Irak
Iran
IJsland
Italie
Jersey
Jamaica
Jordanie
Japan
Johnston-atol
Kenia
Kirgistan
Cambodja
Kiribati
Comoren
Sankt Kitts, Nevis en Anguilla
Noord-Korea
Zuid Korea
Koeweit
Caymaneilanden
Kazachstan
Laos
Libanon
Sint Lucia
Liechtenstein
Sri Lanka
Liberia
Lesotho
Litouwen
Luxemburg
Letland
Libie
Marokko
Monaco
Moldavie
Montenegro
Sint Maarten (Frans deel)
Madagascar
Marshalleilanden
Midway-eilanden
Macedonië
Mali
Myanmar
Mongolie
Macao
Noordelijke Marianen
Martinique
Mauritanie
Montserrat
Malta
Mauritius
Maldiven
Malawi
Mexico
Maleisie
Mozambique
Namibie
Nieuw-Caledonie
Niger
Norfolkeiland
Nigeria
Nieuwe Hebriden
Nicaragua
Noorwegen
Nepal
Koningin Maudland
Nauru
Neutrale Zone
Niue
Nieuw-Zeeland
Oman
Panama
Trustgebied van de Pacifische Eilanden
Peru
Frans-Polynesie
Papoea-Nieuw-Guinea
Filipijnen
Pakistan
Polen
Saint-Pierre en Miquelon
Pitcairn
Puerto Rico
Bezette Palestijnse gebieden
Portugal
Diverse pacifische eilanden van de V.S.
Palau
Paraguay
Panamakanaalzone
Qatar
Reunion
Zuid-Rhodesie
Roemenië
Servië
Rusland
Rwanda
Saoedi-Arabie
Salomonseilanden
Seychellen
Soedan
Zweden
Finland
Singapore
Sint Helena, Ascension en Tristan da Cunha
Slovenië
Svalbard en Jan Mayen
Slowakije
Sierra Leone
San Marino
Senegal
Somalie
Singapore
Suriname
Zuid-Soedan
Sao Tomé en Principe
Sovjet-Unie
El Salvador
Sint Maarten (Nederlands deel)
Syrie
Swaziland
Turks- en Caicoseilanden
Tsjaad
Franse zuidelijke gebieden
Togo
Thailand
Tadzjikistan
Tokelau
Oost-Timor
Turkmenistan
Tunesië
Tonga
Portugees Timor
Turkije
Trinidad en Tobago
Tuvalu
Taiwan, Chinese provincie
Tanzanie
Oekraine
Oeganda
Kleine afgelegen eilanden van de Verenigde Staten
United States
Uruguay
Oezbekistan
Heilige stoel
Saint Vincent en de Grenadines
Noord-Vietnam
Venezuela
Britse Maagdeneilanden
Amerikaanse Maagdeneilanden
Vietnam
Vanuatu
Wallis en Futuna
Wake-eiland
Samoa
Zuid-Jemen
Jemen
Mayotte
Joegoslavie
Zuid Afrika
Zambia
Zaire
Zimbabwe
*
Zip code
*
House number
*
Street
City
Telephone
Mobile
[emailhelp]
Email
*
Passport photo
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
Activities
Hockey
Category
Click for choice
Extra training external
Event only
Fine late sign out Cat 1
FY Internal competition
FY Training only
HY Internal competition
HY Training only
Fine late sign out Cat 2
*
Questions
Automatic collection of debits:
*
Hereby I authorise the Maestrichtse Studenten Hockey Club to perform continuous collection of automatic collection invoices on my bank account
to deduct the amount as stated in the invoice from the IBAN stated above. These deductions can be contribution of the association costs, events costs and other association costs.
A direct debit can disputed up to 8 weeks after the execution of the direct debit through your own bank.
*
Autograph member:
Please fill in your name, this will be recognized as your autograph
Experience:
I have played since:
Highest played level:
Previous clubs:
Do you have a certificate for a trainer or coach?
Kind of certificate:
Obtained by:
Team selection:
Please select the team you want to be placed in from the list below.
If you are not sure which one you can select the try out internal team or try out training.
Internal Team 1 Ladies
Internal Team 2 Ladies
Internal Team 3 Ladies
Internal Team 4 Ladies
Internal Team 5 Ladies
Internal Team 6 Ladies
Internal Team 7 Ladies
Internal Team 8 Ladies
Mixed Training Team
Beginner Training Team
Internal Team Try out
*
Volunteering:
The Maestrichtse Studenten Hockey Club is run by volunteers.
Together we try to make hockey a fun sport and organize fun events to get to know each other.
We would like to ask you for your help and input in making MSHC the best student hockey association.
Although you may be short on time, we would like to involve you in the inner workings of MSHC.
We will contact you soon to ask what you can/want to do for MSHC and its members.
We would like to ask to select 2 possible subjects you are interested in, down below.
Thank you in advance and we hope to see you on the fields!
1st choice:
Training of teams
Sponsor committee
Tournament committee
Referee committee
Bar committee
Board function
Refereeing games (CS or CS+)
Webmaster
CoachingPlanner
Activity committee
Material committee
Maintenance committee
Member administration
Financial committee
Nothing
*
2nd choice:
Training of teams
Sponsor committee
Tournament committee
Referee committee
Bar committee
Board function
Refereeing games (CS or CS+)
Webmaster
CoachingPlanner
Activity committee
Material committee
Maintenance committee
Member administration
Financial committee
Nothing
*
Studentnumber (UM) OR UM Sports number (Zuyd):
*
Privacy settings
Agree privacy statement
What and how the data of the members are displayed by default is laid down in the regulations of the association.
More privacy? Indicate your desired level below and which details you may not want to have shown.
Privacy niveau
Public
Your personal data is visible when the club / association shows personal data publicly.
Members only
Your personal data is only visible to logged-in members / volunteers.
Group members
Your personal data is only visible to logged-in members / volunteers
of groups you participate in (e.g. teams and classes).
Users
Your personal data is only visible to officials
with access to the administration.
Other privacy settings
Do not show date of birth
Do not show passport photo
Do not show e-mail address
Do not show telephone numbers
Do not show address
Do not use images
Block commercial messages
You will not receive messages whose sender indicating that it contains commercial content
Club magazine/ newsletter
Note:
If you uncheck this, you will no longer receive relevant
association information and indicate that you are
responsible for collecting
all information that is directly important
is for you as an association member.
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