Registration form Xtra English4kids Starter 2020-2021
Registration form for pupils of group 4 & 5.
Pupil's name : *
Your answer
Christian name : *
Your answer
Address, postcode and city : *
Your answer
Birth of place and year of birth : *
Your answer
Gender : *
E-mail address for contact : *
Your answer
Name mother/guardian: *
Your answer
Tel.no. mother/guardian: *
Your answer
Name father : *
Your answer
Tel.no. father : *
Your answer
Class : *
Payment : *
Name present school : *
Your answer
Group : *
Your answer
Further details: You can enter important details here (if any):
Your answer
By signing this registration form, the parents/ guardians declare that they are aware of and agree with the terms and conditions as stated on the website of 'Xtra English4kids'. The undersigned hereby declares to have filled in the information above truthfully. If one parent/ guardian signs the form, he/she declares parental authority and also he/she declares that the other parent/guardian agrees with the registration of the child for the course. Enter your name, date and place. *
Your answer
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