Internet Zwemscore Module

First name*

Surname prefix

Last name*

Date of birth*

Gender*

Male Female

Street*

House number*

Zip code*

City*

Phone number*

Mobile

Name of account holder*

IBAN*

Email address*

Controle e-mailadres*

Start in (preference) *

Availability

Comment

Payment method

We collect €3 registration fee (One-time Payment).

The lessons are paid through iDeal at the end of every month, based on how many lessons you participated in.

You can cancel any time without additional cost.

iDeal

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Be advised! There is a possibility that payments won't go through when using a Safari browser earlier then version 12.2. If this occurs, potential browsers you could try Chrome, Firefox, MS Edge.