Your subscription to the club will be confirmed after receipt of payment. IBAN account: BE30 3100 8220 0011 BIC: BBRUBEBB Communication: Family name and first name
Family name*
First name*
Date of birth*
Email*
Street and nº*
Postcode*
Locality*
Phone number*
Nationality*
Gender* —Please choose an option—FemaleMale
Notes
By submitting this form, I accept that the information entered will be used in the context of this contact and the relationship that may be sought.
Interclubs* —Please choose an option—Do not participateBase teamReserve team
Team* —Please choose an option—NoneYoungLadiesMen
Name of the association
Name and surname*
Phone*
Activity*
Desired surface* —Please choose an option—Terre battueSurface rapide
Desired day(s)*
Hour(s)*
Remarks*
By submitting this form, I accept that the information entered will be used in the context of this contact and the relationship that may result.
Name of the association*
Name and surname of the person in charge*
Date*
Total number of participants*
Total number of men*
Total number of women*
Entry time to dressing room*
Exit time from dressing room*
Time slot*
By submitting this form, I accept that the information entered will be used in the context of this contact and the relationship that may result from it.
