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* 1. Name:

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* 3. Phone:

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* 4. Which time slots are suitable for a call? (We will call you to confirm the assessment lesson.)

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* 5. Child Age:

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* 6. Which Programme are you interested?

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* 7. Assessment Lesson Preferred Timetable (Fee: CHF 300/ Deductible once sign-up.)

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* 8. Does your child follow any of the these dietary restrictions? (Please select all that apply.)

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