Let's learn French in France - Program for teenagers
Logo Azurlingua French
language school
for teenagers & kids
in France

French language courses for teens - Course in Nice French Riviera with Azurlingua

REGISTRATION DATES & PRICES BROCHURE

Health form & parental authorization

Compulsory document to send to the school in case of registration by post mail or fax. health form


Download the document


Child's surname: : _____________                                                                                  

Child's forename:               _____________                                                                      

If your child is receiving medical treatment, please indicate the type of medication used.

                                                                                             _____                                  

                                                                                             _________      _                   

If your child suffers from allergies, please specify.

                                                                                             _____________  _               

                                                                                             _____________                   

If your child has special dietary requirements, please specify.

                                                                                             ____________                     

                                                                                             _______                                

If your child may not take part in any of the activities organised by the School, please specify which ones.

                                                                                             _____                                    

                                                                                             ___________                        

If your child is taking a watersports course (sailing or diving), please supply the School with a medical certificate and parental consent form before the start of the course.

                                                                                             _______                                

- My child is under 16 years of age and is not allowed to go out in the afternoon unaccompanied

- My child is under 16 years of age and is allowed to go out in the afternoon unaccompanied

- My child is aged 16 years or over and is not allowed to go out in the evening unaccompanied

- My child is aged 16 years or over and is allowed to go out in the evening unaccompanied until
 00:30 A.M.

 

 I, the undersigned, Mr/Mrs                                                                          _____    

(parent or guardian of the child), confirm that the information given above is correct.

 In case of emergency, I can be contacted by the School on the following numbers –

Téléphone :                                                                ________________________     

Mobile :                                                                                  ______________    _        

Fax :                                                                                     _____________         ____

Date :……../……./200…                                      Signed:

Azurlingua - French language school for foreigners, 47 rue Hérold 06000 Nice – France
Tél. : + 33 4 97 03 07 00 - Fax : + 33 4 97 03 07 03 - e.mail : info@azurlingua.com

 
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