Registration Form

Name of Student:*
Date of Birth:
Address:
Zip code:
City:
Mobile phone:
E-mail:
Location:	Studio Warenar, Wassenaar Overbosch Sports Center, Den Haag
Class:
Agree:	I have read the Rules & Regulations as well as the Privacy Notice published on this website.
	I have seen that there is a registration fee of €15,00 Payment via https://pointeworks.nl/shop/Courses/21/Registration-Form-New-Student.php? which have to be paid before the 2nd lesson.