Application Form

Personal & Contact information 

The fields marked * are required

Your full name *

Special information

Skills in martial arts or sports :

What?Level?

Mealrequests.*

(more choices)

I will travel with * 

In case of CARPOOL* 

Please select also alternative options

Notes:

Conditions

Your participation in the workshop will be definitive after we receive your application form and

deposit from you. To avoid disappointment, please apply early! Cancellation costs: till four weeks before beginning of workshop we will charge 40%, after that it will be 80% from the indebted amount.

You are advised to arrange a travel and annulment insurance!

Payment

A deposit of minimum € 290,00 have to by paid within 3 days after the date of registration to

secure your reservation for participating in the workshop.

The rest of the amount should be paid before 30 June 2022

I agree to and I accept the payment and cancellation conditions listed above. *

For payment use please following bank account:

IBAN: NL67 ABNA 0554 5443 77 ter name van R.J.C. Nansink, Amsterdam;

with description “Taikiken week CZ 2023“

I agree to and I accept the payment and cancellation conditions listed above.

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