This form is merely a request for registration. The registration will be made final with a conformation email. The form has only been send when you see the message that it has been successfully received.

  • 1
    Fill out

    Fill out the form as complete as you can. Please also report any other information you think we should be made aware of.

  • 2

    Check whether you have selected the correct location and activities, as well as the time preference.

  • 3

    Submit the form and you will receive a response as soon as possible.

Gegevens kind Wie komt er zwemmen?
Gegevens ouder Hoe kunnen we jullie bereiken?
Aanvraag Waarvoor dient de aanvraag?
Aanvullende informatie Moeten wij nog iets weten?
Verzenden Is het formulier compleet?