E.S.B.V. Samourais Member Signup
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First name *
Last name *
Email address  *
Phone number *
Gender *
Birthdate *
MM
/
DD
/
YYYY
Student number *
Your TU/e or Fontys student number (if not, give your sportscard number)
Interested in the sport *
Required
What is your current level *
Beginner or belt color
Do you give consent to use pictures taken of you during our trainings/events to be used on our social media? *
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