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BENOORDENHOUTSE JUDOSCHOOL
Ik heb interesse om bij de Benoordenhoutse Judoschool te gaan sporten en wil geïnformeerd worden over de mogelijkheden.
Ik ontvang graag meer informatie over de inschrijfprocedure en de mogelijkheid om een gratis proefles te volgen. Het verplicht mij tot niets.
VUL A.U.B. DE GEGEVENS IN VAN DEGENE DIE WIL GAAN SPORTEN !
I am interested to do martial arts at the Benoordenhoutse Judoschool and would like to be informed without any obligations. I will receive more information about the enrollment procedure and the possibility to do a trial lesson for free.
PLEASE FILL IN THE DATA OF THE PERSON WHO IS WILLING TO START.
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Voornaam:
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Given name:
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Achternaam:
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Surname / family name
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Geboortedatum:
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Date of birth
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Welke sport wil je beoefenen? Heb je al eerder een vechtsport gedaan, welke band heb je gehaald?
Which sport do you want to practice? Have you done a martial art before, which grade did you reach?
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Straat + huisnummer:
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Home address + number
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Postcode:
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Postcode
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Plaats:
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City
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Telefoon 1:
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Telephone
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Telefoon 2:
Mobile number
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E-mailadres:
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E-mail address
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Herhaal emailadres:
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Repeat E-mail address
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Opmerkingen:
remarks:
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