· web viewi have read the registration conditions in effect since 08/31/2004. i fully...
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257 avenue George Henri1200 Woluwe St Lambert Bruxelles
GSM: +32/489.520.220e-mail : [email protected]
www.e-m-t.beRegistration to music classes Fill in the form and send it to the Tchaikovsky Music School as a Word format (.doc) by email.Student (First name, Last Name):
Date of birth
*Parent (First name, Last Name):
Instrument:
Current address: Level:
Phone: Preferred lesson length:
Email 1: Suitable schedule:
Has your child or yourself already attended the school?
*for children under 18y old onlyI, the undersigned _________________________________________________________ enroll my child/myself at the music course / instrument ______________ for the school year 201.-201.., starting from ___________________ , 15’/30’/45’/60’/75/90’ once a week.
I allow the Tchaikovsky Music School (NPO) to use child’s pictures or pictures of myself. These photos are intended for the school website or any other publication for the Tchaikovsky Music School.I have read the registration conditions in effect since 08/31/2004. I fully subscribe to all clauses of the hereinafter document which I have signed and of which I have received a copy. All student registered is fully aware of the conditions.
SignatureMade in Brussels, on ......./........./20......
I have read and approved the regulations and terms of the Tchaikovsky Music School.
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