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Fluo night run/walk
Vul onderstaand formulier in om deel te nemen aan onze warmste fluo run/wandeltocht
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Voor- en achternaam
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Ben je patiënt in onze praktijk?
ja, momenteel in behandeling
ja, vroeger nog bij jullie in behandeling geweest
nee, maar ik schrijf me toch graag in!
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Wil je graag lopen of wandelen?
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Lopen: 5 km
Lopen: 10 km
Wandelen: 4 km
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