Inscription Form

Inscription Form

Welcome to your personal movement journey a safe space for you to thrive. Please, fill in this form to inscribe to a Tuning in Femme Membership. Make sure all information is true and complete.
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Birthday*

MonthDayYear
Date
Email*
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Physical condition
Describe your overall health: Do you have any physical, complain, accident, birth, injury or condition that limits your movement? *
Describe your current situation and what are the reasons you feel and think you will benefit from this class. *
Memberships

Select the membership of your choice
Monday 20:30 Monthly membership €47,50Thursday 18:30 Monthly membership €47,50Monday 20:30 season membership €270 (One time payment)Thursday 18:30 season membership €270 (One time payment)
Monthly membership €75,50Season membership €750 (One time payment)
Inscription fee

All new memberships add a €20 inscription fee.
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Payment
Please fill in the amount of your membership (-10% if it applies) + the €20 inscription.

Write your name in the description and the name of your membership.

If you chose for a monthly membership please activate your automatic transfers until August 2026.

Business Information:

Erika Hernando Terán

Kvk-nr 85544574

BTW-nr NL004136303B06

IBAN: NL02ASNB0707058570
Name*

First NameLast Name
By signing this agreement you agree to follow the following terms and conditions attached in this document by the (Articles 6:217 and 6:248 of the Dutch Civil Code).
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Inscription Form

Physical condition

Memberships

Inscription fee

Payment