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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 weder eine Buchungsbestätigung noch eine Kursabsage erhalten, bitten wir Sie, sich telefonisch mit uns in Verbindung zu setzen.

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Psychomotorik II (Seepferdchen):"); document.write(" *"); document.write("
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kein Kurs: 11.05.24, 01.06.24

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Preis: 200,00 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 angeben:"); 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 berück- sichtigt 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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nur für Inhaber der FamilienApp Hessen: Sofern für Ihren ausgewählten Kurs ein Rabatt gewährt wird, sind die nachfolgenden Felder vollständig auszufüllen. Bei fehlenden oder unvollständigen Angaben kann der Apprabatt nicht gewährt werden

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