Book Learn to Row - Roeicentrum Berlagebrug

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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*

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Team members (max 3)

First name	Last name	Email adres

Rowing course preferences

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Course periode*

Preferred day*

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Voorkeursdag*

Maandag
Dinsdag
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Voorkeurstijd

Preferred starting time

Voorkeurstijd

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Alternatieve dag

Maandag
Dinsdag
Woensdag
Donderdag

Alternative starting time

Alternatieve starttijd

Alternative starting time

Alternatieve starttijd

Remarks

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