New enrolment form 2016 sept
Transcription
New enrolment form 2016 sept
ENROLMENT FORM ENGLISH LESSONS First name/prénom______________________________________________ Surname/nom__________________________________________________ DoB/né le______________________________________________________ Address/adresse_________________________________________________ Tel:____________________________________________________________ E-mail_________________________________________________________ Niveau (langue étrangère) _________________________________________ Year/Grade (native speakers) ______________________________________ Legal guardian/responsable légal___________________________________ Signature_______________________________________________________ Price/Tarifs Tuesday evenings/mardi soir ou Wednesday afternoons/mercredi après-midi 1 hour/1 heure 18€ 10 hours /10 heures 170€ 30 hours/30 heures 460€ Please bring this form with you to the first lesson on Tuesday 13th or Wednesday 17th September or send it by e-mail to [email protected] Gillian Le Coz Tel: 04 42 32 44 61/ 06 13 13 30 99 [email protected] everything-british.com