Kloter Klub Niederanven

Basic data

Username

Password

Confirm password

Surname

First name

Street and Number

Postal code

City

Country

Phone

Mobile

Birthday

Gender

---

E-mail

email adress will be used for information messages

secondary e-mail ( optional )

email adress will be used for information messages

Additional information

membership type

single membershipfamily membership ( 3 or more members together )

single is the standard subscription type with an yearly fee of 130€/person
family is a single subscription for > 3 persons and has a yearly fee of 355€/family

family relations

(still 255 characters)

only for family subscription, fill in the names of the other family members on the leader account
( the one witch will pay the membership )

climbing experience

experienced - was member of KKNexperienced - was climbing elsewherenew - never climbed before

Additional informations for Minors and Kids Trainings ( skip for adults )

Kids Social Number (mandatory)

main contact name (mandatory)

main contact number (mandatory)

main contact email (mandatory)

email adress will not be used for information messages

Secondary Contact Name

Secondary Contact Number

Secondary Contact email

email adress will not be used for information messages

register to waiting list

---no preference of time slotwith preference of time slot (please select preference)

for training slot preferences please select the corresponding timeslots below

Mondays 16.30-17.30 (age 7-15)

Mondays 17.30-18.30 (age 7-15)

Mondays 18.30-19.30 (age 7-15)

Tuesdays 17.30 - 19.30 (Youth training, age 15+)

Wednesdays 18.00-19.30 (age 7-15)

Thursdays 15.00-16.00 (age 7-15)

Thursdays 16.00-17.00 (age 7-15)

Thursdays 17.00-18.00 (age 7-15)

Saturdays 09.30-10.30 (age 7-15)

Saturdays 10.30-11.30 (age 7-15)

Combi - Mondays 16.30-17.30 and Thursdays 15.00 -16.00 (age 8-15)

additional fee of 150€ for the second training

Combi - Mondays 17.30-18.30 and Thursdays 16.00 -17.00 (age 8-15)

additional fee of 150€ for the second training

Combi - Mondays 18.30-19.30 and Thursdays 17.00 -18.00 (age 8-15)

additional fee of 150€ for the second training

wishes for climbing partner

(still 255 characters)

Rules Confirmation

I have read and acccept the rules

-> rules

Comment

comment

(still 255 characters)

anything to say what we missed asking ?

Confirm value

Authentication code

Registration