function fg_maxchars(n,o) { o.value = o.value.substring(0,n); } document.write(""); document.write("
\n"); document.write(" \n"); document.write("
\n"); document.write("

Fett markierte Felder sind Pflichtfelder

\n"); document.write("\n"); document.write("
\n"); document.write("
"); document.write("
"); document.write("
"); document.write("

Kursbuchung Bad Homburg, Louisen 7, Louisenstr. 7, 61348 Bad Homburg

"); document.write("
"); document.write("
"); document.write("
"); document.write("
"); document.write("

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

"); document.write("
"); document.write("
"); document.write("
"); document.write("
Psychomotorik I (Anfänger)"); document.write(" *"); document.write("
"); document.write("
"); document.write("
"); document.write("
"); document.write("
"); document.write("
"); document.write("

kein Kurs: ./.

"); document.write("
"); document.write("
"); document.write("
"); document.write("
"); document.write("

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

"); document.write("
"); document.write("
"); document.write("
"); document.write("
"); document.write("
"); document.write("
"); document.write("

Kursteilnehmer/in

"); document.write("
"); document.write("
"); document.write("
"); document.write("
"); document.write("
Name:"); document.write(" *"); document.write("
"); document.write("
"); document.write(" "); document.write("
"); document.write("
"); document.write("
"); document.write("
"); document.write("
Vorname(n):"); document.write(" *"); document.write("
"); document.write("
"); document.write(" "); document.write("
"); document.write("
"); document.write("
"); document.write("
"); document.write("
Geburtsdatum (TT.MM.JJJJ):"); document.write(" *"); document.write("
"); document.write("
"); document.write(" "); document.write("
"); document.write("
"); document.write("
"); document.write("
"); document.write("
"); document.write("
"); document.write("
"); document.write("

Hinweise zum/r Kursteilnehmer/in (z.B. Einschränkungen, Beeinträchtigungen, Besonderheiten usw.)

"); document.write("
"); document.write("
"); document.write("
"); document.write("
"); document.write("
bitte hier angeben:"); document.write(" *"); document.write("
"); document.write("
"); document.write(" "); document.write("
"); document.write("
"); document.write("
"); document.write("
"); document.write("
"); document.write("

Für die seltenen Fälle, dass einmal - trotz freigeschaltetem Buchungsformular - kein freier Platz zur Verfügung stehen sollte oder der Kurs abgesagt werden muss, empfehlen wir, im folgenden Feld einen oder mehrere Alternativkurse anzugeben, 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.

"); document.write("
"); document.write("
"); document.write("
"); document.write("
Alternativkurs(e):"); document.write(" *"); document.write("
"); document.write("
"); document.write(" "); document.write("
"); document.write("
"); document.write("
"); document.write("
"); document.write("
"); document.write("
"); document.write("
"); document.write("

Angaben zum/r Erziehungsberechtigten

"); document.write("
"); document.write("
"); document.write("
"); document.write("
"); document.write("
Anrede:"); document.write(" *"); document.write("
"); document.write("
"); document.write("
"); document.write("
"); document.write("
"); document.write("
Name:"); document.write(" *"); document.write("
"); document.write("
"); document.write(" "); document.write("
"); document.write("
"); document.write("
"); document.write("
"); document.write("
Vorname:"); document.write(" *"); document.write("
"); document.write("
"); document.write(" "); document.write("
"); document.write("
"); document.write("
"); document.write("
"); document.write("
Strasse / Nr:"); document.write(" *"); document.write("
"); document.write("
"); document.write(" "); document.write("
"); document.write("
"); document.write("
"); document.write("
"); document.write("
Plz / Ort:"); document.write(" *"); document.write("
"); document.write("
"); document.write(" "); document.write("
"); document.write("
"); document.write("
"); document.write("
"); document.write("
Telefon:"); document.write(" *"); document.write("
"); document.write("
"); document.write(" "); document.write("
"); document.write("
"); document.write("
"); document.write("
"); document.write("
Email:"); document.write(" *"); document.write("
"); document.write("
"); document.write(" "); document.write("
"); document.write("
"); document.write("
"); document.write("
"); document.write("
bitte anklicken:"); document.write(" *"); document.write("
"); document.write("
Ich akzeptiere die AGB der heilpäd. Praxis & Schwimmschule Horn
"); document.write("
"); document.write("
"); document.write("
bitte anklicken:"); document.write(" *"); document.write("
"); document.write("
Diese Buchung kann ich ab Buchungstag innerhalb von 14 Tagen schriftlich oder per E-Mail widerrufen
"); document.write("
"); document.write("
"); document.write("
"); document.write("
"); document.write("
"); document.write(" "); document.write("
"); document.write("
"); document.write("
"); document.write("
"); document.write("
"); document.write("

nur 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.

"); document.write("
"); document.write("
"); document.write("
"); document.write("
FamilienAppinhaber/in: (Name, Vorname)"); document.write(" *"); document.write("
"); document.write("
"); document.write(" "); document.write("
"); document.write("
"); document.write("
"); document.write("
"); document.write("
App-Nummer (Barcode):"); document.write(" *"); document.write("
"); document.write("
"); document.write(" "); document.write("
"); document.write("
"); document.write("
"); document.write(" "); document.write("
"); function aCheck() {if (!document.getElementById('fg_link') || document.getElementById('fg_link').rel=='nofollow' || document.getElementById('fg_link').href!='http://www.cmsfrog.de/' || document.getElementById('fg_link').innerHTML.indexOf('CMS Frog')==-1) document.getElementById('fg_xform').style.display='none';} window.setTimeout('aCheck()',100); var hasFlash = false; try { var fo = new ActiveXObject('ShockwaveFlash.ShockwaveFlash'); if(fo) hasFlash = true; }catch(e){ if(navigator.mimeTypes ["application/x-shockwave-flash"] != undefined) hasFlash = true; } function getSWF(strName) { if (window.document[strName] != null) if (window.document[strName].length == null) return window.document[strName]; else return window.document[strName][1]; else if (document[strName].length == null) return document[strName]; else return document[strName][1]; } function AC_AddExtension(src, ext) { if (src.indexOf('?') != -1) return src.replace(/\?/, ext+'?'); else return src + ext; } function AC_Generateobj(objAttrs, params, embedAttrs, returnStr) { var str = ' '; str += '