French Summer Classes

PERSONAL DETAILS

Title :  Mr Mrs Ms

First name & family name of the adult (required)

Address :

Zipcode & town :

Country :

Phone number :

Your Email (required) :

Date of birth (01/01/1980) :

Native language :

Occupation :

COURSE

Names & ages of the students :

I am interested in :  The children's club -age 3/11 y.o The student course - age 12/17 The adult summer course The intensive course One-to-one course

I would like to attend :  2 weeks 3 weeks 4 weeks 5 weeks more than 5 weeks

Start of your course : Monday, June 14Monday, June 28Monday, July 5Monday, July 12Monday, July 19Monday, July 26Monday, August 02Monday, August 09Monday, August 16

Level of French : Pure beginnerPoorMediumGood

How long have you been studying French ? 123456+ years

ACCOMMODATION

Accommodation choosen: host family 1/2 boardhotelholidays apartmentvilla rentalI will make my own housing arrangements

For homestays, give details of any health problems, and any other information you feel we should know (diet, preferences, smoker/non-smoker, allergies...)

TRAVEL

I will travel from :
 by air by car by train other
(please, send us your travel details asap)

 I would like to be picked up by the host family (50 Eur. one way - 90 Eur. round trip)

OTHER OPTIONS AND ACTIVITIES

I am interested in :  Tennis Sailing  Week-end in Paris Midget golf swim with dolphins  Visit of Grasse Perfume factories Boat trip to Lerins islands other activities

How did you hear about French Summer Classes :

I accept the general conditions of registration.
I, hereby, confirm my registration French Summer Classes. I, therefore, have read and accept the general conditions of registration.