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Chess courses in Ukrainian language, Chess Club Gambit Bonnevoie Luxembourg // Cours d'échecs en lingue ukrainienne
Please fill in the following form for enrolment / Inscrivez-vous en remplissant ce formulaire svp
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Family name (surname) of the child / Nom de l'enfant
*
Your answer
Name of the child / Prénom de l'enfant
*
Your answer
Date of birth of the child / Date de naissance de l'enfant
*
MM
/
DD
/
YYYY
Luxembourg social security number of the child (if available) / Numéro CNS (si disponible)
Your answer
Surname and name of the parent/tutor/legal guardian / Nom et prénom du parent/tuteur légal
*
Your answer
Address of the parent/legal guardian / Adresse du parent/tuteur légal
*
Your answer
E-mail of the parent/legal guardian / Courriel du parent/tuteur légal
*
Your answer
Telephone number of the parent/legal guardian / Numéro de téléphone du parent/tuteur légal
*
Your answer
The child will follow the courses on / L'enfant suivra les cours
*
Mondays from 17:30 to 19:00 / Le lundi de 17h30 à 19h
Thursdays from 17:30 to 19:00 / Le jeudi de 17h30 à 19h
Both Mondays and Thursdays / Le lundi et le jeudi
Any question? / Avez vous des questions?
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