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CIRCO DE LOS NIÑOS
Formato de registro / Registration form
* Indicates required question
Email
*
Your email
Alumno dato / Student info
Apellido / Surname
*
Your answer
Nombre / Name
*
Your answer
Fecha de nacimiento / Birthday
*
MM
/
DD
/
YYYY
Genero / Gender
*
Masculino / Male
Femino / Female
Nacionalidad / Nationality
*
Your answer
Escuela / School
*
Your answer
Donde vive / Where do you live
*
Your answer
Desde cuando / Since when
*
MM
/
DD
/
YYYY
Problemas medicos / Medical issues
Your answer
Informacion de la madre / Mother's info
Apellido / Surname
Your answer
Nombre / Name
Your answer
Correo electronico / E-Mail
Your answer
Facebook
Your answer
Telefono de casa / House phone
Your answer
Celular / Cellular
Your answer
Prefiero / I prefer
Texto / Text
What's App
Clear selection
Informacion del padre / Father's info
Apellido / Surname
Your answer
Nombre / Name
Your answer
Correo electronico / E-Mail
Your answer
Facebook
Your answer
Teléfono de casa / House phone
Your answer
Celular / Cellular
Your answer
Prefiero / I prefer
Texto / Text
What's App
Clear selection
Informacion de emergencia / Emergency info
Contacto / Contact 1
*
Your answer
Teléfono / Phone 1
*
Your answer
Teléfono / Phone 2
Your answer
Contacto / Contact 2
Your answer
Teléfono / Phone 1
Your answer
Teléfono / Phone 2
Your answer
Pago / Payment
Tipo de matricula / Tuition fees type
*
A- 1 pago por ciclo / One payment per cycle
B- 3 pagos por ciclo / 3 payments per cycle
Descuento o Patrocinador / Discount or Sponsor
A- DESCUENTO DE FAMILIA (Tengo mas de un niño en circo) / FAMILY DISCOUNT (I have more than one kid at circo)
B- Necesito apoyo economico / I need financial help
C- Yo quiero patrocinar a otro niño / I would like to sponsor an other student
Clear selection
Quiero inscribirme a / I want to register to
*
Circo / Circus
Danza / Dance
Required
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