Registration | N.S.R.V Phocas

2020 Introw registration (international)

First name

Infix (optional)

Last name

Gender

Male

Female

Other

Birth date

E-mail

Phone number

Address

Street address

City

Postcal code

What is your major?

Student number

Institution

Radboud University

HAN University of Applied Sciences

Other, namely...

Name of institution

Particularities (allergies, diet, etc.)

Do you have a dorm room in Nijmegen?

Yes

Looking for one

How long do you intend to stay in Nijmegen?

Sports history

Which sport(s) did you practice?

How many years did you practice this/these sport(s)?

How many times a week did you train?

What is your best achievement / (sports) performance?

If you have rowed before, at which club?

Do you have other hobbies besides sports?

The coxswain sits in the back of the boat and motivates/corrects the rowers. Are you interested in being a coxswain?

Yes

How much time do you intend to spend on average at Phocas during a week? (Think about training, parties, helping the club, eating with your team, etc.)

Length (In centimeters, rounded off)

Weight (In kilograms, rounded off)

Authorization

Undersigned hereby grants the authorization to the treasurer of N.S.R.V. Phocas for a one-time collection of €15 from his/her account for the benefit of the Introwduction 2020. It is possible to withdraw this authorization until August 29th, 2020 by means of an e-mail to icsecretaris@nsrvphocas.nl

I agree to this authorization

IBAN

First- and last name

Date