Registration form BJJ Rotterdam BJJ Rotterdam registration form First name * Last name * Gender * M V Date of Birth * E-mail address * Phone number * Address * Zipcode * e.g. 1234AA City * Date of registration * Membership * Single lesson: €15,- 10-lessons card: €120,- (€12,00 per lesson) Membership "1 x per week": €38,- p/m (€9,50 per lesson) Membership "UNLIMITED": €55,- p/m (€4,58 per lesson) Bankaccount number (IBAN) * Name cardholder * I am 18 years or older Yes No I hereby authorize BJJ Rotterdam to collect the monthly contribution by direct debit. * Yes I agree with the Terms and Conditions * Yes I give permission to use my e-mail address for news items about BJJ Rotterdam. * Yes No I give permission to share photos and videos I'm on externally via WhatsApp / internet. (Website, YouTube, Facebook, Instagram) * Yes No One-time registration fee BJJ Rotterdam has a one-time €15 registration fee. New members receive an embroidered logo patch from BJJ Rotterdam. Privacy This data is only stored and used to contact you regarding membership at BJJ Rotterdam. This data is not shared with third parties or used for commercial purposes without permission. Note! Our response to your submission may end up in the spam box of Gmail and Hotmail accounts. So keep an eye on this folder as well! (Should it be in this spam box, you would help us a lot by marking our mail as "safe"). Captcha Send Indien je een mens bent, laat dit veld leeg:. Δ
