scheda - Lord Byron College

Course registration form

YOUR PERSONAL INFORMATION (OR PERSONAL INFORMATION OF YOUR PARENT IF YOU ARE UNDER 18 YEARS OF AGE):
Name*
Surname*
Date of birth*

DD
MM
YYYY
Place of birth*
Identity card or passport*
Accepted file types: jpg, gif, png, pdf, bmp.
Attach a photocopy of identity page of your passport or both sides of your identity card here
Address*
Street address City * Post code * Country *
PERSONAL INFORMATION: STUDENTS UNDER 18
Name and Surname
Date of birth

DD
MM
YYYY
Place of birth
Address to send course materials*
- Come sopra
Cell phone number with nation prefix*
Email*
Occupation or study programme*
Registers for the following course:*
Registration fee*
- € 80
Course programme*
with the following payment conditions:*
- REGISTRATION FEE AND COURSE IN ONE PAYMENT AT THE MOMENT OF REGISTRATION
- REGISTRATION FEE AND HALF OF THE COURSE COST AT THE MOMENT OF REGISTRATION, WITH PAYMENT OF SECOND HALF OF COURSE BY THE MIDDLE OF THE COURSE
Terms and conditions*
- I confirm that I have read and fully accept the terms and conditions of this contract.
Treatment of personal data*
- I agrre to the treatment of my personal data for the purposes of this contract.