Aanmeldformulier

Voor kinderen en volwassenen

Naam *

E-mailadres *

phone number *

Date of birth *

Naam ouders (indien van toepassing)

Capoeira experience (where, how long, teachers name)

Medical information (if relevant)

Contribution for the year (payment in September and August) '20/'21. If you join during the year payment will be adjusted proportionally. *

Kids: Two terms of €140,- (€280,- in total)

Adults: Two terms of €252,- (€502,- in total)

Ik ga akkoord met de algemene voorwaarden *