Your child's details

First name*

Last name*

Birth year*

Day

Month

Year

Club details

Hobby*

Lego Builders Club

Sew Club

Period*

Een trimester (10 sessies)

Volledig schooljaar

First name*

Last name*

Address*

E-mail*

Phone number*

Allergies or intolerances

Other medical information

BE 1004 225 558

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