ClubCollect

Stichting Muziekschool Diemen

Persoonlijke gegevens

Please fill in the personal details of YOUR CHILD but your own contact details.

Voorletter(s)

Voornaam (verplicht)

Tussenvoegsel

Achternaam (verplicht)

Geslacht (verplicht)

Man

Vrouw

Zeg ik liever niet

Geboortedatum (verplicht)

Contactgegevens

Please fill in YOUR OWN contact details.

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 your child? (verplicht)

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

Does your child 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 for your child? (verplicht)

Select the preferred suscription. The fourth option (every other week) is not available for children below the age of 12. 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 follow 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.

Does your child receive support of the Jeugdfonds Sport & Cultuur? (verplicht)

We would like to know the status of possible support by the Jeugdfonds. ATTENTION: Lessons cannot start unless such support will be granted!

Jouw naam als contactpersoon / Your name as contact person (verplicht)

Please enter your full name as contact person who will also receive the invoice.

Naar welke school gaat je kind / Which school does your child attend? (verplicht)

Please enter the name of the school plus the location in case of multiple sites.

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 (verplicht)

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.