ClubCollect

Stichting Muziekschool Diemen

Persoonlijke gegevens

Please fill in your details

Aanhef

Voorletter(s)

Voornaam (verplicht)

Tussenvoegsel

Achternaam (verplicht)

Geslacht (verplicht)

Man

Vrouw

Zeg ik liever niet

Geboortedatum (verplicht)

Contactgegevens

Address line 2 can be used for your company name.

E-mailadres voor contact (verplicht)

Telefoon 1

Landcode (verplicht)

Nummer

Adres zoeken

Vul een aantal velden in om je adres te vinden

Adresregel 1 (verplicht)

Huisnr *

Toevoeging

Adresregel 2

Postcode (verplicht)

Plaats (verplicht)

Land

Other details

For which instrument do you wish to sign up? (verplicht)

In case the instrument is not listed here, select the last option and enter the instrument at Additional info below.

Do you already have an instrument available? (verplicht)

If necessary, we can help in renting or buying an instrument.

Which subscription (number of minutes per lesson) do you choose? (verplicht)

Select the preferred suscription. "Om de week" means every other week. The rates mentioned apply as of this month (i.e. 9 months until the end of this season). You can still adjust your choice during the trial lesson(s).

Does another family member already take lessons with Muziekschool Diemen? (verplicht)

If the answer is YES, please enter the full name(s) and instrument(s) of the family member(s) at Additional info below.

For some instruments, lessons are offered on several days of the week. Enter any preferences here.

Enter any weekday(s) of your preference here (Saturday is only limitedly available).

MSD Status

This status will be assigned by Muziekschool Diemen.

Extra informatie

Please enter additional information such as an explanation on previous questions.

By sending in this form, you agree with our General terms and conditions and our Privacy Statement.

You will receive an acknowledgement of receipt after registration.