Application Form Karate Kids Party * All agreements regarding the request in consultation.

Information Parents or Guardians

Name

Adress Zip code + City

Phone

E-mail Adress

Information Programme

Proposal date:

Proposal time: From __________ up to __________ hour. Total number of children _________ (including the one who`s birthday)

Extra information

Name of the person’s birthday

Date of birth

Including: Choice of: 0 Unlimited pancakes 0 Hotdog (maximum 2 per child)

At booking: (Please tick applicable)

Birthday cake!!! € 22,-

Cupcakes KARATE !!! € 1,25 each Number: ____

Questions/Comments

Conditions

* You can set the amount at the start of the party in cash (please per envelope) meet us at the bar.

* After we receive your request you will receive a confirmation. If you agree with the information stated on the

confirmation, the agreements are final. Up to 7 days in advance to change the number of participants, after that the last

transmitted number and is non refundable. Other changes you can pass at all times.

* It is not allowed to bring your own refreshments. In our sports bar coffee and other drinks are available for the parents

of the one who’s birthday. * Damage and Liability: Personal information will be kept confidential. Sportschool Van Galen accepts no liability for personal injury: injury or damage

to health, including the resulting damage. Sportschool Van Galen accepts no liability for property damage: damage, destruction or loss of property as

well as the pollution or contamination of property and located thereon or therein of foreign substances including the resulting damage. Sportschool

Van Galen assumes no liability for business, or data that are not known to us, or were.

Please fill out the form and mail it to: sportschoolvangalen@gmail.com and you will

receive our response within a few days to tune a few things.

Contact: W www.sportschoolvangalen.nl T 06-30412575

I KVK number: 54251540 I VAT Number: 851228318B01 I Joined Karate Association Netherlands I