JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Escoleta 2023-24
Inscripció Escoleta 2023-24 - Centre Català Basilea
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Nom pares
Your answer
Nom nen/a
*
Your answer
Nom nen/a (si té germà/na)
Your answer
Nom nen/a (segon germà/na)
Your answer
Sou socis (quota 2023 pagada)?
*
Sí
No
Pagament efectuat
*
1 nen/a - soci - CHF300 (EUR300)
2 nens - socis - CHF550 (EUR550)
3 nens - socis - CHF800 (EUR800)
1 nen/a - NO soci - CHF375 (EUR375)
2 nens - NO soci - CHF650 (EUR650)
3 nens - NO soci - CHF950 (EUR950)
Nom en què es va efectuar el pagament
*
Your answer
Data en què es va efectuar el pagament
MM
/
DD
/
YYYY
Qualsevol altre comentari
Your answer
Send me a copy of my responses.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
