Registration form Xtra English4kids Advanced 2021-2022
Registration form for pupils of group 7 & 8.
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Pupil's first name : *
Pupil's last name : *
Address, postcode and city : *
Place of birth and year of birth : *
Gender : *
E-mail address for contact : *
Name mother/guardian: * mother/guardian: *
Name father : * father : *
Class : *
Payment : *
Name present school : *
Group : *
Further details: You can enter important details here (if any):
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. *
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