ClubCollect

Den Haag Lacrosse

Membership 2021-2022 Den Haag Lacrosse

The total amount consist of the membership fee and a one time administration fee of €11,75. This amount must also be paid in case of early cancellation of the membership.
If no notice is given by August 1st 2022, the membership will automatically be renewed at the end of the season.

Full name member(verplicht)

In case of youth member: Full name of parent/caregiver

Email address(verplicht)

Phone number(verplicht)

Date of birth (DD-MM-YYYY)(verplicht)

Full address(verplicht)

I would like to sign up for:(verplicht)

Bank account number (IBAN)(verplicht)

By filling in and submitting this form, you agree with the following: if you choose to pay the contribution by automatic debit, we, Den Haag Lacrosse, are allowed to debit your account. If there is not enough money in your account during the first automatic debit, the amount will be withdrawn at a later time. (verplicht)

Possible comments

In order to complete your application we need a pas photo and a copy of your ID. Without these documents we cannot complete your application at the Dutch Lacrosse Bond (NLB) and therefore you are not eligble to play matches! Send these documents to: secretaris@denhaaglacrosse.com By checking this box you agree to the above. (verplicht)

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Den Haag Lacrosse

Membership 2021-2022 Den Haag Lacrosse