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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 I (Anfänger)"); document.write(" *"); document.write("
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kein Kurs: 21.10.23, 28.10.23

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Preis: 275,00 Euro (10 % Rabatt für Inhaber der Familienkarte 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 Familienkarte Hessen: Sofern für Ihren ausgewählten Kurs ein Familienkartenrabatt gewährt wird, sind die nachfolgenden Felder vollständig auszufüllen. Bei fehlenden oder unvollständigen Angaben kann der Familienkartenrabatt nicht gewährt werden. Wird für Ihren Kurs kein Familienkartenrabatt gewährt, sind die Angaben entbehrlich.

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Familienkarteninhaber/in: (Name, Vorname)"); document.write(" *"); document.write("
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Familienkartennummer:"); document.write(" *"); document.write("
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gültig bis (MM.JJJJ):"); document.write(" *"); document.write("
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13-stellige Nummer des EAN-Codes (Strichcode auf der Kartenrückseite):"); document.write(" *"); document.write("
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