Course registration - Deutsch-Amerikanisches Institut. Haus der Kultur.

Categories*
Adults
Course selection*
Children & Young people
Attention: the course rooms for the kids´ courses are (located) at Adenauerplatz 1 (the Deutsche Bank building) in 69115 Heidelberg. (With the exception of the holiday camp)
Course selection*
Holiday crash courses
Course selection*
Holidy camps
Course selection*
Number of days*
Desired date:
Date from*
DD dot MM dot YYYY
Date to*
DD dot MM dot YYYY
Title*
Name*
First Last
Name legal guardian*
First Last
Name of child / student*
First Last
Date of birth of the child / pupil*

Day
Month
Year
Address*
Street Address ZIP / Postal Code City
Phone number*
E-mail*
Class (2019 / 2020)*
Grade*
School*
Payment*
- Payment method: cash payment (in the DAI One World Language School in Heidelberg, 2nd floor, Monday – Thursday, 9am - 12pm and 1pm - 3pm)
- Direct debit authorization
I hereby authorize the DAI Heidelberg to deduct the course fees by direct debit from my bank account. (German bank accounts only)
Account holder*
IBAN*
BIC*
*
- once per course
- until recalled
- I am a member of the DAI Freundeskreis and request for a 10% reduction.
  Please/ kindly enclose a copy of your member ID. (once per course/ until revocation)
Privacy*
- I agree that DAI Heidelberg will process and store my personal data for communication in the matter requested by me in accordance with the data protection declaration. A forwarding to third parties does not take place. I can revoke my consent to the use of my personal data at any time with immediate effect.
Terms and Conditions*
- In submitting this application, I accept the Terms and Conditions of the DAI in Heidelberg. These can be found here. Please understand that as we are bound by German law, these can only be provided in German.
All fields with an asterisk (*) are required fields and must be filled in.
Security check

Adults

Children & Young people

Holiday crash courses

Holidy camps

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