Become a Plons member in two easy steps.
Step 1: Fill in this form.
Step 2: transfer €10,-- registration fee to Plons (NL69INGB0006728347) and note: "Standing order membership Plons" and your name.
Email address *
First name *
Your answer
Surname *
Your answer
Gender (if you would participate in a competition with which gender would you subsribe?) *
Date of birth *
MM
/
DD
/
YYYY
Street *
Your answer
House number *
Your answer
Postal code *
Your answer
Place of residence *
Your answer
Phone number *
Your answer
Are you entitled to discount by having a student pass and/or an Ooievaarspas? If you do, please send a scan to: secretaris@plons.nu *
Have you got a swimming certificate comparable to the Dutch swimming certificates A and B? *
May your name be added to the face library of Plons on our members-only part of the website? (you can add other data if you want; default = yes) *
May your name be mentioned in communication within Plons? (our club magazine Explonsief, newsletter, i.e.; default = yes) *
May images of you be used in communication within Plons? (our club magazine Explonsief, newsletter, i.e.; default = yes) *
May images of you be used in communication outside Plons? (website, Facebook, Instagram, i.e.; default = no) *
If you leave Plons, can we keep in touch with you? Of course we won't send any spam. (default = yes) *
How did you get acquainted with Plons *
Required
A copy of your responses will be emailed to the address you provided.
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