Pre-Registration Seminar Shishiya Sensei

Please fill the form in correctly, incomplete registrations will not be processed.

If you cancel your registration we’ll bill you €7,50 administration cost.

We calculate a reduced price if you preregister yourself. If you’re not able to pay up front by bank wire you’ll need to pay the normal price in the dojo.

Are you under age of 18 years old? Please contact Ernst Slomp

Voornaam (verplicht)
First Name (required)

Achternaam (verplicht)
Family name (required)

Email adres (verplicht)
Email-adress (required)

Leeftijd [in jaren, bijvoorbeeld 26] (verplicht)
Age [In years, for example 26] (required)

Dojo (verplicht)
Dojo (required)

Trainingsprogramma (verplicht)
Trainingsprogram (required)

Diner (zaterdag avond) [+ €30 per persoon] (verplicht)
Dinner (Saturday evening) [+ €30 per person] (required)