Robbeburg Jekerstraat 84 1078 MG Amsterdam Nederland

Membership Form

Simply print out this page, fill in your details and mail the completed form to the address. Please write on the front of the envelope 'membership application.'

Last Name _____________________________________ Name of Child _____________________________________ Name of mom/dad _____________________________________ Address _____________________________________ Postcode _____________________________________ Town _____________________________________ Telephone _____________________________________ Email Address _____________________________________ Child's Birthday _____________________________________ Group _____________________________________ Date of First Day (date-month-year) _____________________________________ The undersigned enrols her/himself as a member of Robbeburg. From the date of the first day I am obliged to pay the contribution until the end of the term when a cancellation of my membership is received by the Membership Secretary of the Robbeburg. I understand that the billing is in December for January-June and in June for July-December and the fee is non-refundable.   Signature: _____________________________________

PLEASE REMEMBER THAT ROBBEBURG IS A NON-PROFIT, VOLUNTEER ORGANIZATION, RUN BY THE PARENTS OF THE MEMBER CHILD!