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E.S.B.V. Samourais Member Signup
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* Indicates required question
First name
*
Your answer
Last name
*
Your answer
Email address
*
Your answer
Phone number
*
Your answer
Gender
*
Male
Female
Prefer not to say
Other:
Birthdate
*
MM
/
DD
/
YYYY
Student number
*
Your TU/e or Fontys student number (if not, give your sportscard number)
Your answer
Interested in the sport
*
Judo
Karate
Brazilian Jiu Jitsu
Aikido
Required
What is your current level
*
Beginner or belt color
Your answer
Do you give consent to use pictures taken of you during our trainings/events to be used on our social media?
*
Yes
No
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