Mubabil - Registration Form

I would like to enroll for : I would like to :
a free trial class a group a private birthday host weekly workshops
First name : Child's name : boy
Last name : Date of birth : girl
Email : Course place/weekday/time : /  / :
Phone 1: Phone 2:
Addresse: ZIP Code/Town : /
Notes:        

Version française du formulaire:

 
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