French summer school registration

Title* :  Mr Mrs Ms
First name & family name of the adult* :
Full Address* (number, street name, Zipcode, Town, Country):
Phone number* :
Your Email* :
Date of birth (30/03/1970) :
Native language* :
Nationality* :
Occupation :

Names, date of birth, and level of French* of each student attending the course :
* Beginners : students with no knowledge of French
* False beginners (level A1) : students with almost no knowledge of French
* Elementary (levels A1 and A2) : students with little knowledge of French
* Intermediate (level B1) : students with good foundations in French
* Operational and advanced (levels B2, C1, C2) : students with a good or excellent knowledge of French

I am interested in :
 French courses for beginner children 6-11 y.o French courses for non-beginner children 6-11 y.o French courses for teenagers French courses for adults French intensive courses French private courses

Start of your course :
Monday, June 12, 2017 (for 1 to 9 weeks)Monday, June 19, 2017 (for 1 to 8 weeks)Monday, June 26, 2017 (for 1 to 7 weeks)Monday, July 3, 2017 (for 1 to 6 weeks)Monday, July 10, 2017 (for 1 to 5 weeks)Monday, July 17, 2017 (for 1 to 4 weeks)Monday, July 24, 2017 (for 1 to 3 weeks)Monday, July 31, 2017 (for 1 week to 2 weeks)Monday, August 7, 2017 (for 1 week)

I would like to attend :
1 week2 weeks3 weeks4 weeks5 weeks6 weeks7 weeks8 weeks9 weeks

For private course, specify dates :

Accommodation choosen:
---French host familySelf-catering arranged by the schoolI make my own housing arrangements
For homestays, give details of any health problems, and any other information you feel we should know ( smoker/non-smoker, allergies, diet, hobbies...)

I will travel from :
I will travel by :
---by airby trainby car


 I would like to be picked up by the host family

I am interested in :
 Sailing Tennis Picnic on the beach museums Golf Visit of Grasse Perfume factories Boat trip to Lerins Island

How did you hear about French Summer Classes :
---Internet / Search engineLanguage newspaperI am a former studentAgencyFriendother

I have read and accepted the general conditions of registration*.
I confirm my registration at French Summer Classes*.