Registration form trial lesson

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I registrate for:

Personal details

Family name*

Name*

Day of birth (dd-mm-yyyy)*

Gender*
MaleFemale

Phone number*

E-mail address*

Agreement

I agree that Njord can use my details for internal communication during my membership.

Please leave this field empty.

*Required fields

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V.Z.V. Njord
Wal 152
5501 HP Veldhoven
T: 040-2553659 (only during club hours)

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

Realisatie: Supportpunt in samenwerking met V.Z.V. Njord