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Studying

Place

Music play in day care

Language

Instrument/other subject/workshop

Student

First name

Last name

Gender

Date of birth

Street address

Postal code

City

Student's phone number

Student's email

Email address for billing

Guardian

Phone number

Other info

May we use photos of the student in our publications

Yes No

Timetable

Weekday times that do not work for you

Times on Saturdays that do not work for you