Inschrijfformulier Do-In Academy leerjaren

I hereby register for Do-In Academy

Year

1 2 3 Course / Specialization:

Official data student (fill in completely please)

Name

First name Surname

Address

Street
Street and number (second field)
City	Staat / Provincie
Zip code	Country

Company Name

Company address (if applicable)

Street and number
Street and number (second field)
City	Staat / Provincie
Zip code	Country

VAT no. if applicable

Other business data

Date of birth

- Month - Day Year

E-mail address

Mobile phone number

Skype Name

Trainings

Secondary school, completed:

Yes No

Continuing education or specialization

Profession

Do you have any physical problems or health injuries?

I agree with the conditions mentioned below *

Yes

I declare that I have filled out the form complete and correct. *

Yes

By handing in this form, I authorize Do-In Academy to save my data in it's database. Do-In Academy will use this information only to send me invoices of by me selected courses and to inform me about educations, workshops and specialisations. *

yes

Date *

- Month - Day Year

Conditions

Registration and interview

After handing in your registration we invite you for an interview (on Skype). Legally, you have two weeks to reconsider your registration. Only after this interview and these two weeks, your registration is final.

You will subsequently receive an invoice (€1075) and after your payment we will plan the programme. In principle, we request to complete a level within a year.

When you cancel after starting the education we cannot refund. But in special cases, when you need more than a year to complete a level, we can reschedule.

Disclaimer

The techniques and suggestions in this course are not intended to substitute for medical advice. Please consult your healthcare professional before beginning any new exercise program.

Pregnant women are especially cautioned to consult a physician before practicing the exercises.

While every precaution has been taken in the preparation of the course material, Do-In Academy disclaims any liability or loss resulting from the procedures and information in the education and taught by authorised teachers.

Copyright

Copyright Do-In Academy