JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Anmeldung LBS Birsfelden
Bitte drucke das PDF "
Haftungsausschluss
" aus
, unterschreibe es (bei Minderjährigen: Unterschrift eines Erziehungsberechtigten) und bringe es zum ersten Kurstermin mit. Alternativ kannst Du es direkt bei mir erhalten.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Vorname
*
Your answer
Name
*
Your answer
Alter
*
MM
/
DD
/
YYYY
Email
Your answer
Handynummer (Whatsapp Chat)
*
Your answer
Notfallkontakt (Vorname, Name, Mobile)
*
Your answer
Zahlungsweise
*
Pro Stunde (Fr. 20.-)
Monatlich (Fr. 70.-)
Pro Quartal (Fr. 180.-)
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. -
Terms of Service
-
Privacy Policy
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report