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Enrollment form youth membership Eindhovense SV

Attention!

Only use this form after a spot has been assigned to your child. If you have not received a confirmation mail, do not fill this out – use the waiting list form instead. Submitting this form completes the enrollment and creates a financial obligation. Details can be found on our Youth Chess web page.

For questions about our youth section, please contact the Youth Coordinator.

Please fill out the form separately for each child you want to register.

E-mail parent/guardian

Name parent/guardian

Given name child

Initials child

Last name child (incl. prefixes)

M/F?

M/V?

boy

girl

Date of birth child

Street address

Postcode

City

Telephone number

Is your child taking chess lessons elsewhere? If so: where?

Does your child speak dutch?

Yes

Do you accept our privacy-statement?

Yes

Use of your data

I give permission to use and process my personal data

I allow the Eindhovense Schaakvereniging to use images and video on its website and social media.

I allow the KNSB (Royal Dutch Chess Federation) to use images and video on its website and social media.