Inscriptionform Summertraining

Name *

Voornaam

Achternaam

Email *

Telephone, preferably mobile number *

Birth date (year of birth is sufficient as well) *

Address *

Address Line 1

City

State / Province / Region

Postal Code

Contactperson + telephonenumber in case of emergency during your stay in the Dojo

Summertraining 3 - 10 August 2024

Total Amount

0,00 €

It is good for you to know the following about my actual physical and mental condition *

More *

A last remark (optional)