Inschrijfformulier voor dreumesen (EN) Newsletter Details infantFirst nameLast nameDate of birthAddressPostcodePlace of residence Applicant detailsI am: Parent Grandparent Caregiver Au pairFirst nameLast nameAddressPostcodePlace of residenceTelephone numberEmail address Invoice detailsAre the invoice details the same as the applicant's details? Yes NoSend invoice to:Salutation Mrs. Mr. OtherwiseInitialsLast nameAddressPostcodePlace of residenceEmail addressPreferred invoice payment In 1 instalment (administrative costs €3.50) In 2 instalments (administrative costs €3.50 per instalment) Additional informationPreferred day(s) of lessons Monday Tuesday Friday No preferencePreferred lesson time(s) 9:15 - 9:45 a.m. 9.30 - 10.00 a.m. No preferenceHow did you find Muziek Lokaal? Via Muziekonderwijs Aalst Waalre Via Google / search engine Via social media Through word of mouth / referral Through an event (e.g. a performance) Via flyer or leaflet Via an article in a (news) magazine Via the Chamber of Commerce / business platform OtherwiseMuziek Lokaal found in a different way, namely:Further information or explanation Declarations of agreement Agreement General Terms and ConditionsPermission to use photographs and videos. Permission may be revoked at any time. Yes, I give permission for photographs and videos of me or my child to be used for publicity purposes (website, social media, flyers, brochures). No, I do not give my permisssion.General Terms and conditions I agree to the terms and conditions of registration.Register
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