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Enrollment application to Jazzper Culture-School

Information about applicant

Name: Date of birth:
Address: Postal code/place:
Tel. Private: Mobile:
E-mail    
Desired start:

August
January

   

Choice of course

- Singing/instrumental:
- Course

Desired time for lessons

For singing/instrumental lessons.

Prioritize from 1-3  (2.00 - 8.00 pm)
Tuesday at:   or
Wednesday at:   or
Thursday at:   or

Has the applicant received music tuition before?

Other family members who receive tuition?

Important information

Info. about parent/guardian

(To whom we should send invoice; 18+ years)

Name: Date of birth:
Address: Postal code/place:
Tel. Private: Tel.work:
E-mail: Mobile:

 

By submitting this application you confirm that you have read the conditions for enrolment and accept them (see "Info")

 
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