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Student data

Title

First name

Last name

Email address

Phone number

Educational institution

Education and year

Confirm your age

I am a minor

Education

Primary education

Secondary education

Higher education

Parent information

Preamble

First name

Last name

Email address

Phone number

Address details

Street name

House number

Postal code

City

Country

How might we help you?

Subjects or topics

Needs

Preferences

Do you want to follow the lessons in person or digitally?

In person, but if that's not possible, I want digital lessons.

In person and if that's not possible, I don't want digital lessons.

Digital

Do you want to take the lessons individually or in groups?

Individually

Group, but if there are no other participants, I want individual lessons.

Group, but if there are no other participants, I don't want individual lessons.

Type of offer

Single lessons

Ongoing support

Questions or remarks?

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