fortuniors Sign Up | Fortunasittard.nl

First name Fortunior ${ errors.get('firstName') }

Last name Fortunior ${ errors.get('lastName') }

Birthday Fortunior ${ errors.get('birthday') }

Gender

Boy

Girl

Other

${ errors.get('birthday') }

Street & House number ${ errors.get('streetHouseNumber') }

Zip code ${ errors.get('zipCode') }

City ${ errors.get('city') }

Name Parent/guardian ${ errors.get('nameParent') }

Phone number ${ errors.get('phone') }

email Parent/guardian ${ errors.get('emailParent') }

Bank account number (IBAN)* ${ errors.get('bankAccountNumber') }

I agree with the terms and conditions and I authorize Fortuna Sittard to continuously (annually) collect the membership fee from my bank account. ${ errors.get('privacyPolicy') }

Please note; the minimum duration of the membership is 12 months. If you take out the membership in the period from July 1 to December 31, you pay 100% of the rate for the current season. If you take out the membership in the period from January 1 to June 30, you pay 50% of the rate for the current season.