Registration form Taus Gym

Step 1 of 3

Personal data member

First name(Required)

Surname(Required)

Gender(Required)

Date of birth(Required)

Contact details

Contact person must be at least 18 years old.

18 years

The contact person is different from the member and/or the member is under 18 years of age

Contact first name

Contact surname

Email address(Required)

Phone number(Required)

Address

Administration

Choose a sport(Required)

Choose your Krav Maga membership(Required)

Choose your Krav Maga kids & youth membership(Required)

Choose your FIT membership(Required)

Choose your Grappling membership(Required)

Choose your Combi membership(Required)

Choose your Women Only membership(Required)

Location(Required)

Start date(Required)

Other information

Payment

By entering your bank details and signature, you agree to the monthly direct debit of membership fees.

Other account holder

Account holder is other than member or contact person

First name account holder(Required)

Last name account holder(Required)

Address(Required)

IBAN account number(Required)

Account holder(Required)

Signature

The undersigned authorises TAUS GYM to debit the membership fee from his/her bank or giro account. Account holder agrees to the terms and conditions and declares that the above has been completed truthfully. With the desktop computer you can put your signature with the mouse in the box below. With a tablet or phone, you can sign your signature with your finger in the area below.

Bank name(Required)

Signature(Required)