Drawing Course Registration Form

Student Registration Form

Fill out the form carefully for registration
I hereby register myself/my child bindingly for the following course:
Courses*
Student's name*

First NameLast Name
Birth Date

MonthDayYear
Gender
Grade (if applicable)
Parent Name (for students under 21 y.o.)*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
E-mail*
example@example.com
Mobile Number*

Phone Number
Additional Comments
Terms and conditions

The current agreement is valid until cancelled. Cancellation of the agreement is possible 4 weeks in advance, at the beginning of each month, except July and should be done in a written form. The course takes place once per week and lasts 45 min. (60€/month), or 90 min. (90€/month) The amount is due in advance by day 3rd of every month.

There are no lessons on public holidays as well as during Bavarian school holidays.

If the teacher is unable to perform a lesson, the missed lesson can be made up within 2 weeks.

If the student is unable to attend a lesson, the missed lesson can be made up during other offered day for the same course by prior agreement with the teacher within 2 weeks.

If the child is sick during long period of time, some other solution can be found upon presenting the doctors' note.

By signing this form I give the permission to Luba Holland to contact me via the e-mail or phone number provided in case of emergency or informational purposes.
Payment

Please transfer the course fee monthly to
Luba Holland
IBAN: DE77 7025 0150 0017 1765 87 - BIC: BYLADEM1KMS - Kreissparkasse München Starnberg Ebersberg
Please enter the course name and your name/the name of your child as the reason for payment.
Only after the course fee has been received in our account will the course place be reserved for you/your child.
Signature

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Student Registration Form