Register for the 11-17 Program

Participation costs €75, including VAT.

This includes:

- Participation in the 11-17 Program, 1-hour experience (each child gets 15 minutes of driving time, with 3 children in the vehicle)

Do you wish to register several children? Please fill in the form per child.
Your participation is confirmed only after approval and payment of your invoice.

Details participant

First name: Surname: Age: Preferred day:

Billing information

First name: Surname: Street + nr.: Zipcode: City: Cellphone number: E-mail address: Company name (optional): VAT number (optional):

Automotive & Lifestyle Family-event

E. mail@dp4c.be

T. +32 494 13 88 80