Obesitas in beweging – Samen maken we het verschil

Contactgegevens

Voornaam *

Achternaam *

E-mail *

RIZIV-nummer

Inschrijving

Ik schrijf mij in voor een volledige dag

Ik schrijf mij in voor de voormiddag (tot 14.15 - lunch inbegrepen)

Ik schrijf mij in voor de namiddag (13.00 - 17.00)

Ik schrijf mij voor de lunch tussen 12.00 en 13.00

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