Registration form Student * First Name Last Name Student date of birth * MM DD YYYY Parent (if the student is < 18yo) First Name Last Name Email * Phone * Country (###) ### #### Indirizzo * Address 1 Address 2 City State/Province Zip/Postal Code Country Notes / Other questions I authorize the use of photos and videos taken during lessons and concerts solely for promotional purposes related to my practice. * Yes No Terms and conditions * I have read and agree to the terms and conditions provided on the practical info page: www.ceciliabaesso.com/info Thank you!