Lomakkeet

Signing up for musical play group

The personal data of the child:

Last name*

First name*

Date of birth* (without full stops in the form daymonthyear)

Street address*

Postal code*

City*

Parents or guardians:

Name*

Street address*

Postal code*

City*

Phone*

Email address*

2nd parent or guardian
Name

Phone

Email address

GROUP:

(please look at the times for the groups here , to open a new window)

The group of my choice*

Teacher

To be noted about the entrant, in particular

May the picture of the child appear at the web pages of the Music Institute of Pakila at the address www.pakilanmusiikkiopisto.org?
YesNo

May the name of the child appear at the web pages of the Music Institute of Pakila at the address www.pakilanmusiikkiopisto.org?
YesNo

The office of the music institute will contact you at your e-mail address about the acceptance of your application.

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