Enrollment for waterbabies

Insurance is the responsibility of the individual.

Your Name: *


Your Email: *


Street: *


Zip & town: *


Mobil phone: *


Childs name: *


Childs birthday: *


Class number: *


Enrollment: *

Message:


Payment for the class can be made by payment slip or you can pay electronically. IBAN CH02 0900 0000 8757 8585 3 POFICHBEXXX Ingeborg Nielsen, Seestrasse 47,8810 Horgen.

The class will only be reserved when the payment comes though. Please write name and address when you pay.

Entries marked with an * are mandatory

Are there any health issues regarding your child that I need to know about. *