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Swimming in Veldhoven

V.Z.V. Njord

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You are here: Home / About us / Forms / Uitschrijven

Uitschrijven

    Ik wil me graag uitschrijven voor:

    Leszwemmen op:TuesdayWednesdaySaturday

    Swimming workout

    Underwater hockeywith logbook numberwithout logbook number

    Water polo:swim polo or inflowcompetition

    Competition swimming:with start numberwithout start number

    Personal details

    Family name*

    Given name*

    Initials*

    Day of birth (dd-mm-yyyy)*

    Gender*
    MaleFemale

    Address*

    Postal code*

    City*

    Phone number*

    E-mail address*

    Remarks

    Agreement

    *Required fields

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    V.Z.V. Njord
    Wal 152
    5501 HP Veldhoven
    secretaris@vzvnjord.nl

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    V.Z.V. Njord
    Wal 152
    5501 HP Veldhoven
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