JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
FORM REGISTRATION
PICASSO ACADEMY - SCHOOL OF DRAWING, ILLUSTRATION AND DESIGN
Jl. Ir. H. Juanda No. 39 Depok
Phone: 021.77207537
HP/WA: 0812 1444 537
HP/WA: 0812 2220 537
www.picasso-creativeart.com
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Informasi tentang Picasso diperoleh darimana?
*
Choose
Brosur
Social Media (WEB/FB/IG)
Teman
Spanduk
SMS/WA
PROMO DISKON
Nama Lengkap / Full name
*
Your answer
Nama Panggilan / Nick name
*
Your answer
Tanggal Lahir / Birth date
*
MM
/
DD
/
YYYY
Tempat Lahir / Place of birth
*
Your answer
Jenis Kelamin / Gender
*
Choose
Laki - laki
Perempuan
Agama / Religion
*
Choose
Islam
Katolik
Protestan
Hindu
Budha
lainnya
Nama Orang Tua / Parent's name
*
Your answer
Alamat Rumah / Address
*
Your answer
Kelurahan / Urban Village
*
Your answer
Kecamatan / Sub-District
*
Your answer
Kabupaten-Kota / District
*
Your answer
Provinsi / Province
*
Choose
Nanggroe Aceh Darussalam
Sumatera Utara
Sumatera Selatan
Sumatera Barat
Bengkulu
Riau
Kepulauan Riau
Jambi
Lampung
Bangka Belitung
Kalimantan Barat
Kalimantan Timur
Kalimantan Selatan
Kalimantan Tengah
Kalimantan Utara
Banten
DKI Jakarta
Jawa Barat
Jawa Tengah
Daerah Istimewa Yogyakarta
Jawa Timur
Bali
Nusa Tenggara Timur
Nusa Tenggara Barat
Gorontalo
Sulawesi Barat
Sulawesi Tengah
Sulawesi Utara
Sulawesi Tenggara
Sulawesi Selatan
Maluku Utara
Maluku
Papua Barat
Papua
Papua Tengah
Papua Pegunungan
Papua Selatan
Papua Barat Daya
Nomor Telepon / Phone number
*
Your answer
Pekerjaan Peserta Didik / Job
*
Choose
Pelajar / Mahasiswa
Karyawan
Umum
Kelas (khusus untuk pelajar) / Grade
*
Choose
Pre-School
Kelas 1
Kelas 2
Kelas 3
Kelas 4
Kelas 5
Kelas 6
Kelas 7
Kelas 8
Kelas 9
Kelas 10
Kelas 11
Kelas 12
Mahasiswa
Umum
Lainnya
Nama Sekolah / School name
*
Your answer
Program yang diminati / Interest
*
Choose
Drawing for Kids - Reguler
Manga - Reguler
Cartoon - Reguler
Comic - khusus
Sketch - khusus
Caricature - khusus
Painting - khusus
Adobe Photoshop - Khusus
Adobe Illustrator - Khusus
Paint Tool SAI - khusus
Clip Studio Paint - khusus
Corel Draw - khusus
Freehand - khusus
AutoCad - Khusus
Holiday Class - khusus
Private
Porto pra Universitas / Umum
Jadwal tersedia / Schedule
DFK:
Drawing For Kids
CAR:
Cartoon
MAN: Manga
Kelas Khusus: jadwal akan dikonfirmasi
*
Rabu 15:00 (Offline, DFK)
Rabu 16:00 (Online, CAR)
Kamis 15:30 (Online, DFK)
Jumat 13:30 (Offline, DFK/CAR/MAN)
Jumat 15:30 (Offline, CAR/MAN)
Jumat 17:00 (Offline, DFK)
Sabtu 08:00 (Offline, DFK/CAR/MAN)
Sabtu 10:00 (Offline, DFK/CAR)
Sabtu 10:00 (Online, DFK/CAR)
Sabtu 13:00 (Offline, DFK/CAR/MAN)
Sabtu 13:00 (Online, MAN)
Sabtu 15:00 (Offline, DFK/CAR/MAN)
Sabtu 15:00 (Offline, Sketch/Painting)
Minggu 08:30 (Offline, DFK)
Minggu 10:00 (Offline, DFK/CAR/MAN)
KELAS KHUSUS/PRIVATE
Jadwal khusus
Rabu 13:00 (Offline, DFK/CAR) *Waiting List
Sabtu 15:00 (CSP) *Waiting List
Bank Transfer
*
BCA 8692480278
Required
Rekening BCA
Atas nama : Muhammad Tang J., SE
Tanggal Pendaftaran
*
MM
/
DD
/
YYYY
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
