Aanmeldformulier/sign up form

Voor kinderen en volwassenen

Naam *

E-mailadres *

phone number *

Adres *

Date of birth *

Naam ouders (indien van toepassing)

Capoeira experience (where, how long, teacher and group name)

Medical information (if relevant)

Contribution for the year (payment in September and Febuari) '21/'22. If you join during the year payment will be adjusted proportionally. *

Kids: Two terms of €140,- (€280,- in total)
Adults: Two terms of €252,- (€504,- in total)

Ik ga akkoord met de algemene voorwaarden *

Afmeldformulier / sign out form