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

REGISTRATION

DATES & PRICES

BROCHURE

REGISTRATION 2008

In order to confirm your registration please settle the deposit of 250 € or of the total amount (see at the bottom of this page).
Do not hesitate to call us for any further details : tel : +33 4 97 03 07 00

NAME
FIRST NAME
SEX
ADRESS
TOWN
ZIP OR POSTAL CODE
COUNTRY
DATE OF BIRTH	day month year
NATIONALITY
TEL.
FAX
E-MAIL

COURSES

FRENCH LEVEL

Courses
	Start of courses	End of courses

Levels A0 & C2 : 7/04/08, 5/05/08, 2/06/08, 7/07/08, 4/08/08, 8/09/08, 6/10/08

Individual courses

Number of lessons per week

Please make sure that accommodation is available before you register. Tel : +33 497 030 700
ACCOMMODATION

Arrivals are on Sundays and departures are on saturdays before noon

IMPORTANT !
The summer residence Jean Medecin is available from 6/07/08 to 30/08/08
The summer residence Parc Imperial is available from 29/06/08 to 23/08/08

Type of accommodation
	Arrival	Departure

Contact-us If your arrival and departure dates are different from the above mentionned dates.

TRANSFER
( Even if you don't know your arrival details yet, please select yes if you want to book this service)
Please note that transfers before 9.00 a.m and after 10.00 p.m will be charged 32 €

yes

Arrival time

Flight or train N°

departure time

Flight or train N°

SPECIAL WATER SPORT program

Available from 07/07/08 au 28/08/08

Scuba-diving

HEALTH FORM & EVENING OUTING PERMISSION SLIP

Child's surname :
Child's forename :

Please specify : medical treatment, allergy, diets

Other comments :

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 unaccompagnied.
My child is aged 16 years or over and is allowed to go out in the evening unaccompagnied until 00:30 am. I, the undersigned, Mr/Mrs (parent or gardian 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 :

Telephone :
Mobile :
Fax :

Each student is kindly requested to bring 2 ID photos

TERMS OF PAYMENT

We kindly ask you to settle the deposit of 250 €
or of the total amount in order to confirm your registration.

Paid amount : €
(Minimum 250 € )

Settled by : credit card Cheque bank transfer

I have read and accepted the terms and conditions of Azurlingua

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

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

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