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Swimming in Veldhoven

V.Z.V. Njord

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Registration form trial lesson

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    I register for *:

    Personal details

    Family name*

    Name*

    Day of birth (dd-mm-yyyy)*

    Gender*
    MaleFemale

    Address (street and house number) *

    Zipcode and city*

    Swimming certificates
    ABCSwimming skills 1,2,3Other

    Phone number (parents)

    E-mail address (parents)

    Any details

    Agreement

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

    CAPTCHA code:
    captcha

    Please enter the CAPTCHA code below and press “Send”

    *Required fields

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    V.Z.V. Njord
    De Bussels 37
    5501 CH Veldhoven
    ledenadministratie@vzvnjord.nl

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    V.Z.V. Njord
    De Bussels 37
    5501 CH Veldhoven
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