Vereniging sterk voor elkaar - inschrijfformulier

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Registration form

Student details

First name This is required

Surname This is required

Date of birth This is required

Street name This is required

House number This is required

Postcode This is required

Place name This is required

School This is required

Parent/guardian details

First name This is required

Phone number This is required

Relationship with student This is required

E-mail Enter an email Use an address with (@) and (.)

Medical information

Does your child take medication? This is required

Does your child have allergies or are there any other special circumstances? This is required

Membership and payment

I would like to register my child for:

the regular class on Saturday | 10:00-11:00 | €24.99 pm | cancellable monthly

the regular class on Saturday | 11:15-12:15 | €24.99 pm | cancellable monthly

the package of 10 lessons | starts May 7 | 15:00-16:00 | €74.99 | payment in optional 2 installments

the package of 10 lessons | starts May 7 | 16:00-17:00 | €74.99 | payment in optional 2 installments

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Please note: the classes will only take place with sufficient registrations.

Choose your preferred payment method: This is required

Bank account number (optional) This is required

In the name of (optional) This is required

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Any comments / questions This is required

Ik heb de privacyverklaring gelezen en ga akkoord met de verwerking van persoonsgegevens zoals beschreven.

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Privacy Statement

Ik heb samen met mijn kind de gedragscode doorgenomen en wij gaan akkoord met de naleving hiervan.

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Code of Conduct

Ik geef toestemming voor het gebruik van foto- en videomateriaal voor de website en social media van de vereniging.

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By submitting this form digitally, I declare as a parent/guardian that the above information has been filled in truthfully and that I agree to the privacy statement and code of conduct of Sterk voor elkaar.

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Registration form

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CoC number: 99970309

email: info@sterkvoorelkaar.nl