REGISTRATION FORM / INFORMATION | Rock'n'Roll High School Engels

First name *

Initial and infix *

Last name *

Student's date of birth day-month-year *

Name of parent/guardian (if necessary)

Email address *

Street and house number *

Postal code and Place of residence *

Phone number *

Instrument *

Drums
Guitar
Bass Guitar
Audition Training
Band Coaching
Studio Lessons

Lesson format" *

30 minutes per week
45 minutes per week
60 minutes per week
30 minutes every two weeks
45 minutes every two weeks
60 minutes every two weeks

PAYMENT DETAILS

Name and surname of the account holder *

IBAN number *

Agree *

I hereby authorize Rock'n'Roll High School for the automatic debit of the due tuition fees
I agree to the one-time registration fee of €19.95.
I agree to the terms and conditions."

Note

Send me a copy

Registration form Rock'n'Roll High School