Please enable JavaScript in your browser to complete this form.Name *FirstLastGender *MaleFemaleAddress *Zipcode *City *Phone Number *Email *University *HanzehogeschoolUniversity of GroningenOtherStudent Number *Checkboxes *I agree with the following terms:I declare that my personal information is correct and that I am responsible for keeping my personal information up to date. I hereby declare that I have an activated ACLO-card. If I do not own such a card, I hereby grant G.S.K.V. Northside Barbell permission to purchase it for me against cost, including administrative expenses, and charge my bankaccount with the amount due. The contribution fee is €55 per semester or 110 for the year. You will receive an email with payment instructions.MessageSubmit We will contact you for payment