Chess Lessons Registration Form

Course Schedule

Thursday Group 1: 16:00 - 17:00
Thursday Group 2: 17:00 - 18:00

Group

Full Name

Date of Birth

Identity / Passport Number

Phone

Address

Guardian Full Name

Required for participants under 18.

Relationship to Participant

Required for participants under 18.

Guardian Phone

Required for participants under 18.

Is there any health condition that may affect participation?

Health Condition Details

Please specify if yes.

Regular Medications

Allergies (food, medication, etc.)

Photo and Visual Usage Permission

For the photos and videos taken at events organized by İskele Municipality to be used on the Municipality's social media accounts, website, printed publications and promotional activities.

Payment Information

Monthly course payments must be made to the İskele Municipality cash desk within the first 5 (five) days of each month.
For payments made by bank transfer/EFT to the municipal account below, the payment receipt must be shared with the IGEM Registration Office.

Municipal Bank Account Details:

Bank Name: T. Halk Bankası A.Ş
Branch: İskele Branch
Account Name: İskele Belediyesi
IBAN: TR73 0001 2001 8140 0007 0000 02

I declare that the information I have provided above is correct, that I accept that the registration fee is 1.500 TL and that I will comply with the workshop rules.

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