REGISTRATION FORM FOR AISV SATURDAY SCHOOL SPRING 2018
Email address *
Student’s name/ Mokinio vardas *
Your answer
Student’s surname/ Mokinio pavardė *
Your answer
Present grade at school/Lankoma klasė mokykloje *
Date of birth / Gimimo data (mėnuo/diena/metai) *
MM
/
DD
/
YYYY
Mother's phone number/Mamos telefono numeris
Your answer
Father's phone number/Tėčio telefono numeris
Your answer
Please give the names, contacts and relation of two persons who will assume responsibility for the care of your child(ren) in case you cannot be reached/ Prašome nurodyti du žmones, kuriems galima skambinti, jei nepavyksta skubiai susisiekti su Jumis name, phone, relationship to family/ vardas, tel. numeris, ryšys su vaiku *
Your answer
Can the child(ren) participate in ALL physical education activities?/ Ar gali vaikas (-ai) dalyvauti VISUOSE fizinio lavinimo užsiėmimuose? If no, please explain in detail if there are any physical problems (allergies, asthma, etc.) or special medication that the child(ren) is taking which may limit or affect participation/ Jeigu ne, prašome nurodyti priežastis (alergija, astma, t.t.) arba vaistus, kuriuos vaikas (-ai) vartoja ir kurie riboja ar veikia dalyvavimą fizinio lavinimo užsiėmimuose. *
Required
Please indicate where you found out about our Saturday School/ Jei galite, nurodykite, iš kur sužinojote apie mūsų mokyklėlę
Your answer
Apmokėjimo pavedimo informacija pateikta žemiau. Pavedime prašome nurodyti vaiko VARDĄ, PAVARDĘ, AMŽIŲ. Mokėtojas atsako už visus banko pavedimo mokesčius. Prašome sumokėti 325 eurus (10% nuolaida taikoma užregistravusiems broliukams ir sesutėms) iki SAUSIO 10 d. Money Transfer Information is given below. Please quote your child’s NAME, SURNAME, AGE on transfer documents. It is the family’s responsibility to cover any banking/ transfer fees when wiring money. Please pay 325 euro (10% discount is applicable for siblings) by JANUARY 10.
Money transfer information/ Apmokėjimo pavedimo informacija *
The American International School of Vilnius Subačiaus g. 41, Vilnius 11350 Tel. +370 5 212 1031; fax +370 5 2647 202 Bank name: AB DNB bankas Bank Address: J.Basanavičiaus str. 26, 03601 Vilnius - 6, LT Account number (IBAN): LT45 4010 0510 0219 5472 Bank code: 40100 SWIFT: AGBLLT2X
Required
Would you like to register another child? Ar norite užregistruoti dar vieną vaika? *
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of The American International School of Vilnius. Report Abuse - Terms of Service - Additional Terms