Inschrijfformulier

We are busy to translate this form in English language. Pls send your contactinformation to info@coach4kids.nl to we can inform you as soon we have the English version On-Line.

Given name *
Familiy Name *
Date of birth, age *
Are you a girl or a boy?
What lessons do you think you like most?
Waht school ar you on? We like to know on whet school and in which grop you are in.
Name of the school
Group
Registration for:
Period Pls indicate the period yoy want to registrate your son or daughter for.
Way of payment Pls indicate how you would like to pay
Bankaccount *
Name of the account *
Name parents *
Initials *
Adress *
Postcode *
City *
Tel.nr *
Mobile nr
E-mail *
E-mailadres child
From all e-mail send to the child you will receive a copy
Wilt u ons helpen . . . . . . door hier in te vullen waar en wanneer u voor het eerst over Coach4Kids gehoord of gelezen heeft? Alvast bedankt daarvoor.
Gelezen:
Bericht

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Info@coach4kids.nl. All rights reserved.