ENROLMENT FORM

ZAPRASZAMY wypełnienia formularza zgłoszeniowego.

Upon receipt of the form, we will invite you to a meeting.

If you have any questions, please contact the school office: 515-789-269

Wybierz formularz

Music World School 4-letni

1. ZGŁOSZENIE DO KLASY
Class application
Wybór klasy:
Select a class:
Field is required!
Field is required!
Wybrane instrumenty:
Chosen instrument:
Field is required!
Field is required!
2. DANE KANDYDATA
About Candidate
2.1 Imię/ Imiona i nazwisko:
Name(s) and Surname of the child:
Field is required!
Field is required!
2.2 Numer PESEL:
PESEL number (if none, the passport number):
Field is required!
Field is required!
2.3 Data urodzenia:
Date of birth:
Field is required!
Field is required!
2.4 Miejsce urodzenia:
Place of birth:
Field is required!
Field is required!
2.5 Adres zamieszkania:
Place of residence:
Field is required!
Field is required!
2.6 Przewidywana data rozpoczęcia nauki
Starting date:
Field is required!
Field is required!
2.7 Przebieg dotychczasowej edukacji muzycznej
History of musical education so far:
Field is required!
Field is required!
3. OPIEKUNOWIE PRAWNI
Legal Caretakers’ data
Dane kontaktowe Ojca
Contact data – Father
3.1 Imię i nazwisko:
Name and Surname:
Field is required!
Field is required!
3.3 Adres e-mail:
E-mail address:
Field is required!
Field is required!
3.5 Numer telefonu:
Telephone number:
Field is required!
Field is required!
Dane kontaktowe Matki
Contact data – Mother
3.2 Imię i nazwisko:
Name and Surname:
Field is required!
Field is required!
3.4 Adres e-mail:
E-mail address:
Field is required!
Field is required!
3.6 Numer telefonu:
Telephone number:
Field is required!
Field is required!
Field is required!
Field is required!

Music World School 6-letni

1. ZGŁOSZENIE DO KLASY
Class application
Wybór klasy:
Select a class:
Field is required!
Field is required!
Wybrane instrumenty:
Chosen instrument:
Field is required!
Field is required!
2. DANE KANDYDATA
About Candidate
2.1 Imię/ Imiona i nazwisko:
Name(s) and Surname of the child:
Field is required!
Field is required!
2.2 Numer PESEL:
PESEL number (if none, the passport number):
Field is required!
Field is required!
2.3 Data urodzenia:
Date of birth:
Field is required!
Field is required!
2.4 Miejsce urodzenia:
Place of birth:
Field is required!
Field is required!
2.5 Adres zamieszkania:
Place of residence:
Field is required!
Field is required!
2.6 Przewidywana data rozpoczęcia nauki
Starting date:
Field is required!
Field is required!
2.7 Przebieg dotychczasowej edukacji muzycznej
History of musical education so far:
Field is required!
Field is required!
3. OPIEKUNOWIE PRAWNI
Legal Caretakers’ data
Dane kontaktowe Ojca
Contact data – Father
3.1 Imię i nazwisko:
Name and Surname:
Field is required!
Field is required!
3.3 Adres e-mail:
E-mail address:
Field is required!
Field is required!
3.5 Numer telefonu:
Telephone number:
Field is required!
Field is required!
Dane kontaktowe Matki
Contact data – Mother
3.2 Imię i nazwisko:
Name and Surname:
Field is required!
Field is required!
3.4 Adres e-mail:
E-mail address:
Field is required!
Field is required!
3.6 Numer telefonu:
Telephone number:
Field is required!
Field is required!
Field is required!
Field is required!

Music World School Instrumental Academy

1. O ZAJĘCIACH
About classes
1.1 Zajęcia
Classes
Field is required!
Field is required!
1.2 Wybrane instrumenty:
Chosen instrument:
Field is required!
Field is required!
1.3 Czy uczeń posiada własny instrument?
Does the student own the instrument?
Field is required!
Field is required!
1.4 Czy uczeń uczył się wcześniej?
Has the student previously studied?
Field is required!
Field is required!
2. DO WYBORU
To choose
2.1 Tryb
Module
Field is required!
Field is required!
2.2 Czas trwania lekcji:
Chosen instrument:
Field is required!
Field is required!
3. DANE KANDYDATA
About Candidate
3.1 Imię/ Imiona i nazwisko:
Name(s) and Surname of the child:
Field is required!
Field is required!
3.2 Numer PESEL:
PESEL number (if none, the passport number):
Field is required!
Field is required!
3.3 Data urodzenia:
Date of birth:
Field is required!
Field is required!
3.4 Adres zamieszkania:
Place of residence:
Field is required!
Field is required!
3.5 Numer telefonu:
Phone number:
Field is required!
Field is required!
4. OPIEKUNOWIE PRAWNI
Legal Caretakers’ data
Dane kontaktowe Ojca
Contact data – Father
4.1 Imię i nazwisko:
Name and Surname:
Field is required!
Field is required!
4.3 Adres e-mail:
E-mail address:
Field is required!
Field is required!
4.5 Numer telefonu:
Telephone number:
Field is required!
Field is required!
Dane kontaktowe Matki
Contact data – Mother
4.2 Imię i nazwisko:
Name and Surname:
Field is required!
Field is required!
4.4 Adres e-mail:
E-mail address:
Field is required!
Field is required!
4.6 Numer telefonu:
Telephone number:
Field is required!
Field is required!
Skąd dowiedział(a) się Pan/Pani o naszej szkole?
How did you find out about our school?
Field is required!
Field is required!
Field is required!
Field is required!

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Drzwi otwarte: 25 maja, 8 czerwca 2024

Zapraszamy na DRZWI OTWARTE do naszej Szkoły Muzycznej Music World, które odbędą się 25 maja i 8 czerwca. Prosimy o wypełnienie formularza zgłoszeniowego.
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