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Enrolment

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If you only need further information please use the information form

About your child
Surname of child:
Name of child:
Date of birth:

Passport number:

Surname of Parent:
Name of Parent:

Address

*Country
*Email
Phone

Emergency address, phone:
(if not the same as above)

Does your child have any health problems? Please describe:

About Kids' Club
Age group: 7-9 years      10-12 years
Spanish Knowledge:
Enrollment from:
Number of weeks:
How did you learn about our school?

Payment

I have checked the prices for the Kids' club program and agree.

Yes
I've read and accept the legal disclaimer. Yes
Payment: with credit card by bank transfer
After I've received the confirmation of the school, I pay immediately the first part of Euro 115.--, rest of payment according to the information on the confirmation.


Name of parent



__________________________________________

Place, Date, Signature



_________________________________________
I have read and accept Hispalense's privacy policy.
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