Registration form – Paul Verweel Sportfonds

U-numberEnter all 19 digits, which can be found on the U-pass and start with 6064.

First Name

Last Name

GenderManVrouwOverig

Date of Birth

Postal code

City

Street + house number

E-mail address

Phone number

Would you like to apply for a child who is in swimming lessons?JaNee

Attach proof of registration here.PDF or Photo, maximum 32MB. This proof must show that the child is a member at the specified sports provider. This must show the child's name, the name of the sports provider and the date. This could be a debit from the U-pas page (see example below), an e-mail exchange with the club, or an invoice for the membership fee.
Voorbeeld inschrijving

Sports equipment(s) needed by the childZwemkleding

Voucher amount*15 euro25 euro35 euro

Sports provider where the child is a member

Sports store you want to go to

Voucher amount35 euro55 euro75 euro

I am 16 years or older, or have permission to make this application. I agree to the terms and conditions.
De algemene voorwaarden zijn te vinden op www.paulverweelsportfonds.nl/privacy

Inschrijfformulier Paul Verweel Sportfonds

Volg ons

Menu

Handige links