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Fett markierte Felder sind Pflichtfelder

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Kursbuchung Bad Homburg, Louisen 7, Louisenstraße 7, 61348 Bad Homburg

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Sollten Sie innerhalb von 3 Tagen keine Buchungsbestätigung oder eine Kursabsage erhalten, bitten wir Sie, sich telefonisch mit uns in Verbindung zu setzen.

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Psychomotorik III (Seeräuber):"); document.write(" *"); document.write("
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kein Kurs: ./.

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Preis: 225,00 Euro (10 % Rabatt für Inhaber der FamilienApp Hessen)

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Kursteilnehmer/in

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Name:"); document.write(" *"); document.write("
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Vorname(n):"); document.write(" *"); document.write("
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Geburtsdatum (TT.MM.JJJJ):"); document.write(" *"); document.write("
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Hinweise zum/r Kursteilnehmer/in (z.B. Einschränkungen, Beeinträchtigungen, Besonderheiten usw.)

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bitte hier eingeben:"); document.write(" *"); document.write("
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Für die seltenen Fälle, dass einmal - trotz freigeschaltetem Buchungsformular - kein freier Platz zur Verfügung stehen sollte oder der Kurs abgesagt werden muss, empfehlen wir, in das folgende Feld einen oder mehrere Alternativkurse einzugeben, so dass Sie dann dort berücksichtigt werden können. Bitte geben Sie hier die genaue Kursbezeichnung (nicht Tag und Uhrzeit!) ein. Diese Angaben finden Sie unter der jeweiligen Kursrubrik.

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Alternativkurs(e):"); document.write(" *"); document.write("
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Angaben zum/r Erziehungsberechtigten

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Anrede:"); document.write(" *"); document.write("
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Name:"); document.write(" *"); document.write("
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Vorname:"); document.write(" *"); document.write("
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Strasse / Nr:"); document.write(" *"); document.write("
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Plz / Ort:"); document.write(" *"); document.write("
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Telefon:"); document.write(" *"); document.write("
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Email:"); document.write(" *"); document.write("
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bitte anklicken:"); document.write(" *"); document.write("
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Ich akzeptiere die Geschäftsbedingungen der heilpäd. Praxis & Schwimmschule Horn
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bitte anklicken:"); document.write(" *"); document.write("
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Diese Buchung kann ich innerhalb von 14 Tagen ab Buchungstag schriftlich oder per E-Mail widerrufen
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Für Inhaber der FamilienApp Hessen: Sofern für Ihren ausgewählten Kurs ein Rabatt gewährt wird, sind die nachfolgenden Felder voll- ständig auszufüllen. Bei fehlenden oder unvollständigen Angaben kann der Apprabatt nicht gewährt werden.

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FamilienAppinhaber/in: (Name, Vorname)"); document.write(" *"); document.write("
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App-Nummer (Barcode):"); document.write(" *"); document.write("
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