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Inschrijving Ghistelehof KidzAcademy
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Voornaam deelnemer
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Familienaam deelnemer
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Geboortedatum
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MM
/
DD
/
YYYY
Voorkeur tijdstip
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Woensdag 14:30 - 15:30 (jonger dan 12)
Woensdag 15:30 - 16:30 (jonger dan 12)
Zaterdag 9:30 - 10:30 (ouder dan 12)
Zaterdag 10:30 - 11:30 (ouder dan 12)
Naam contactpersoon 1
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GSM-nummer contactpersoon 1
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Your answer
e-mail contactpersoon 1
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Band contactpersoon 1 - deelnemer (bv. ouder, tante, grootouder,...)
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Naam contactpersoon 2
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GSM-nummer contactpersoon 2
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e-mail contactpersoon 2
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Band contactpersoon 2 - deelnemer (bv. ouder, tante, grootouder,...)
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Opmerkingen of zaken die we zeker moeten weten?
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