Book Learn to Row - Roeicentrum Berlagebrug

Personal information

Name*

Returning customer

Ik roei al bij TopRow

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Customer number

Your customer number has 6 numbers completed with a capital P. You can find yours on the invoice we have send you last time of ask the head coach.

Ploeggenoten

i would like to add teammates

Use this part of the form to subscribe teammates. This is a real subscription, so they don't need to subscribe themselfs. If you just want to let us know you want to row with someone you can mention that in the remarks box.

Phone*

Date of Birth*

Gender*

Team members (max 3)

First name	Last name	Email adres

Rowing course preferences

Course level*

Course periode*

Preferred day*

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Voorkeursdag

Maandag
Dinsdag
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Donderdag

Voorkeurstijd

Preferred starting time

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Alternatieve dag

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Donderdag

Alternative starting time

Remarks

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