Form Skiff Hassle - Roeicentrum Berlagebrug

Personal information

Name*

Returning customer

I have a customer number

Address*

Email*

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.

Phone*

Date of Birth*

Gender*

Rowing course preferences

Course periode*

Hassle skiff cursus

Make your choice in Hassle Skiff Course
- Beginner, previous experience in Liteboat single scull or similar (C1)
- Advanced, experience in the (Hassle) single scull

Preferred day*

It will be busy in the skiffs. We will try to match rowing times as close as possible to the preference, but we have limited spots available. So we might have to use some flexibility.

Voorkeurstijd zaterdag*

9:00
10:00
11:00

Voorkeurstijd zondag*

9:00
10:00
11:00

Preferred starting time*

18:15
19:15
20:15

Preferred starting time*

9:15
10:15
11:15

Preference Najaar-2*

9:15
10:15
11:15

Flexible*

Select All
One hour earlier
One hour later

Alternative day*

If ypur starting time is different on the alternative day please mention it in the remarks.

Remarks

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How did you hear about us?

I already row with TopRow
Friends
Facebook
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Other

Choice of payment*

Name of account holder*

IBAN bank account number*

Korting voorjaar 1 zaterdag

0,00 €

Korting voorjaar 1 zondag

0,00 €

Korting voorjaar 1 maandag

0,00 €

Korting voorjaar 2 zondag

0,00 €

Total

0,00 €

Skiffcursus Hassle

Personal information

Rowing course preferences

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