Summer School Villa Verbeelding Registration form
Register for the Summer School Villa Verbeelding: 26-27-28-29 August 2019 in Villa Verbeelding or PXL-MAD School of Arts.
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Email *
Organisation: Villa Verbeelding & PXL-MAD School of Arts
Rébecca Dautremer in Villa Verbeelding during the Summer School 2018
Important: read this before registration
In order to process all requests correctly, we will let you know as soon as possible whether we can confirm your registration. Thank you for your patience!
Contact details participant
First name *
Family name *
Street + number *
Postal code + city *
E-mail address *
Telephone number *
Date of birth *
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Subscription
Choose mentor *
Price *
Student number (or for former students: year of graduation and field of study) if you register as a student
Extra questions
Will you book a night in Hostel H? *
Hostel H (Spoorwegstraat 80, 3500 Hasselt) reserves rooms for participants until the 15th of July. You get a discount when you present your registration certificate. No need for a room? Please indicate below, so they can unblock the rooms. Book a room via http://www.jeugdherbergen.be/nl/jeugdherbergen/in-de-stad/hasselt-hostel-h 
Newsletter Villa Verbeelding *
Cancellation policy *
Villa Verbeelding is allowed to share my name and e-mail address with the Summer School participants.
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Payment
Please wait until you receive an invitation for payment via mail (please also check your spamfolder). Please complete the payment within 5 days via bank transfer.

After the payment has been completed, you will receive the registration certificate.
A copy of your responses will be emailed to the address you provided.
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