Application form for S.K.V. Hercules

Application form for S.K.V. Hercules Name Initials Surname Address Postal code and city Date of birth (d­m­y) Phone number Email address IBAN Educational institution and student number I heard of Hercules via (roommate, internet, kick­in activity, etc.) By signing the person above declares (hereafter referred to as member) to fulfill the rights and obligations as they are stated in the statutes and regulations of S.K.V. Hercules. The member hereby also declares that he/she participates in the activities of S.K.V. Hercules entirely at his/her own risk. After payment of the required membership fee to the treasurer, the member is entitled to participate in the activities of S.K.V. Hercules. Furthermore, the member is entitled to use the facilities and equipment to the extent they are available to members of S.K.V. Hercules. The payment must be made within 2 weeks of reception of the Contribution Mail of the treasurer. The member may resign by giving written notice to the board no later than 1 month before the start of the new academic year. Signature member Date Place Signature secretary / chairman Studenten Krachtsport Vereniging Hercules Sportcentrum UT ongenummerd 7522 NB Enschede KvK Nummer: 08105003 IBAN: NL86INGB0009560829 Correspondence address: CrossFit Twente t.a.v. S.K.V. Hercules IJsbaanweg 99 7547 AE Enschede