Name child*

Date of birth*

Signing up for*
Wintercamp (from 4 to 10 years)
(Thursday) 4th of January 09:00 - 13:00
(Friday) 5th of January 09:00 - 13:00
Price 40,- euros per day.

Wants to be in the group with

Speaks*
EnglishDutch

Allergies / particulars

Name parent / guardian 1*

Phone number 1*

Emailadress 1*

Name parent / guardian 2

Phone number 2

Emailadress 2

I give permission that photos of my child may be used by sportcentrummariahoeve.nl and their social media*
Yes, no problem!No, I prefer not...