Inschrijfformulier voor leerlingen basisschool (EN) Notify Details studentFirst nameLast nameDate of birthAddressPostcodePlace of residenceTelephone numberEmail addressPrimary school group Group 1 or 2 Group 3, 4 or 5 Group 6, 7 or 8Registration for primary school courses for groups 1 and 2 Music course Preschoolers choirRegistration for primary school courses for grades 3, 4 and 5 Music course Singing lessons / Children's choir Music theory ARegistration for primary school courses for years 6, 7 and 8 Music course Singing lessons / Youth choir Music theory A Music theory BIn possession of diploma A Yes NoPreferred day(s) of lessons Monday Tuesday Thursday Friday No preferencePreferred lesson time(s) 3:30 p.m. - 4:30 p.m. 4:00 p.m. - 5:00 p.m. 4:30 p.m. - 5:30 p.m. 5:00 p.m. - 6:00 p.m. 5:30 p.m. - 6:30 p.m. No preferenceMember of or lessons at Harmonie Juliana Harmonie de Volharding Muziekonderwijs Aalst-Waalre Another association or institutionAnother association or institution, namely:InstrumentName of practical instructor Applicant detailsI am: The student 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 residencePreferred invoice payment In 1 instalment (administrative costs €3.50) In 2 instalments (administrative costs €3.50 per instalment) Additional informationHow 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 folder 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 permission.General Terms and conditions I agree to the terms and conditions of registration.Register
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