Sign up Kids Academy

First and Lastname *

Date of Birth

Email *

Telephone Number

Adres *

Zipcode *

Place *

Country *

At wich club are playing right at the moment?

What are you're improvement points?

Stadspas
YESNO

Price options *

3 to 7 years €55 every month (€55.00 every month; Stops after 11 times) (€ 55,00 per maand; Stopt na 11 keer)
8 to 18+ years €65 every month (€65.00 every month ( Stops after 11 times) (€ 65,00 per maand; Stopt na 11 keer)
Price with Stadspas 3 to 7 years €34.65 every month (€34.65 every month, Stops after 11 times) (€ 34,65 per maand; Stopt na 11 keer)
Price with stadspas 8 to 18+ years €44.85 every month (€44.85 every month; Stops after 11 times) (€ 44,85 per maand; Stopt na 11 keer)

I give permission to collect the monthly amount from my account periodically. *

See the top of the form to request the stadpass discount *

Payment method *

Total *

Totaal

€

Discount Code

I gives permission to DPC Academy to use the photos (taken during the football training of your son / daughter, for the website and social media channels of DPC Academy Privacy * *

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