Registration form

Ledenservice

Op deze pagina vindt u alle informatie met betrekking tot het inschrijven, de contributie, het opzeggen en het wijzigen van uw gegevens. Voor het inschrijven, het wijzigen van gegevens en het opzeggen gebruiken wij uitsluitend onze online formulieren. Klik op één van de buttons voor meer informatie.

Heeft u nog vragen, kijk dan eens bij onze veelgestelde vragen of neem gerust contact met ons op.

You can register as member of AVZV using our registration form below. After filling out and sending the registration form, you will receive an automatic confirmation of your registration (in Dutch). This confirmation serves as financial authorization form. Kindly print and undersign the authorization form as soon as possible after registration and send a copy of it including a passport photo of the member. Only after receiving the undersigned authorization form your registration is completed.

Please note AVZV only uses direct debet for the membership fee payment.

Member’s personal data First name(s)*:member’s name
Given name*:
Middle name
Last name*:
Male/Woman*:MaleWoman
Street*:
Street number*:
Postal code*:e.g. 0000 AB
City*:
Phone number*:10 digits, e.g. 0701234567
Mobile number10 digits, e.g. 0601234567
Email*:
Confirm email*:confirm you email address
Date of birth*:(dd-mm-yyyy)
KNZB certificates*:which member already has

Sport Which sport do you want to enroll in?*:

Only applicable for swimming lessons: Already attents lessons:YesNo
Which diploma’s to get:

Direct debet

Note you will need to sign the automatic confirmation email you will receive after filling this registration form in order to complete registration. Please use the name of the account which shall have the same last name as the member for administration purposes.

Account holder *:
Address*:
House number*:
Postal code*:e.g. 0000 AB
City*:
Phone*:10 digits, e.g. 0701234567
IBAN account*:e.g. NL44RABO0123456789; no spaces

Data ooievaarspas

If you want to use the Ooievaarspas-arrangement, please indicate below. Click for further information (Dutch).

Ooievaarspas*:YesNo
Number:

How do you know AVZV?*

I have read and agree with the membership terms of AVZV (NL).*

Remarks (e.g. relevant medical details). Registering a Youth member? Please provide the email addresses of both the member as well as parents.

Leave empty

All * marked fields are obligatory. You will receive an automatic confirmation and authorization form after registering.