0645736001
AQUA 020

Kids registration form

After completing this form, you will receive a payment link for the €32.50 registration fee. Once the payment has been made, your registration will be confirmed and swimming lessons can begin.
Gender
Male
Female
Other
First name of the student Last name of the student Date of birth
U schrijft zich in voor:
Zwemles vanaf 4 jaar - Diploma A
Zwemles vanaf 4 jaar - Diploma B of C
Lesson preference – we will take your preference into account as much as possible.*
17.15 - 17.55 (KIDS)
17.55 - 18.35 (KIDS)
18.00 - 19.00 (ADVANCE)
Phone number Emergency contact phone number E-mail Home address
Preferred payment method
Bank transfer prior to the start of the period
Cash payment at the reception prior to the start of the period
Account number (IBAN) Account holder’s name For the safety and well-being of our members, we kindly ask whether there are any medical or physical conditions that the swimming instructor should be aware of. This may include allergies, chronic conditions, or any other issues that could affect participation and/or safety. Ik stem in met de Algemene voorwaarden en het Privacybeleid Complete registration