Dojo Registration Appliance Form

 
Please fill in ALL fields possible to avoid unnecessary requests - thank you! 

S'il vous plaît remplir tous les champs possibles pour éviter des demandes inutiles - je vous remercie!
 
Si prega di compilare tutti i campi possibili per evitare richieste inutili - grazie!
 
Bitte wenn möglich alle Felder ausfüllen, um unnötige Rückfragen zu vermeiden – danke!

 

Street / ZIP-Code / Town
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Legal Declaration *
We hereby declare to be fully insured against any possible accident that may arise during practice, and we wave out the responsability from the Association on this matter. The sender of this form declares to be entitled to take over responsibility.

Bank Account Information

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