Online registration summer 2017 Personal Details Required * Title Mr Mrs Ms Enter your Surname : First name * Family name * Address* City* Zip* Country* Phone number (home)* Phone number (office)* E-mail* Date of birth* Nationality* Course Type of Course -- Your choice -- Children under 6 y.o. Children 7 - 9 y.o. Children 9 - 12 y.o. Student course 13 - 17 y.o. Adult Summer Course Adult Intensive Course Adult High Intensive Course Private Tutorial Seminar Language Teachers I wish to attend for: 1 week Dates -- Your choice -- August 13 - August 20 I wish to attend for: 2 weeks Dates -- Your choice -- June 18 - July 02 July 02 - July 16 July 16 - July 30 July 30 - August 13 I wish to attend for: 3 weeks Dates -- Your choice -- June 18 - July 09 July 09 - July 30 July 30 - August 20 I wish to attend for: 4 weeks Dates -- Your choice -- June 18 - July 16 July 02 - July 30 July 23 - August 20 My current ability in French is: -- Your choice -- Pure beginner Can understand and read newspaper text Can speak reasonably fluently and read novels Fluent in speech and reading, but need polish I attend years of French in -- Your choice -- High School College University On a scale of 0 to 5, where would you place your current level in French? -- Your choice -- 0 1 2 3 4 5 Accommodation In a French Family Single guest with breakfast only Single guest with 1/2 pension Double guests/room with 1/2 pension In the Boarding House with 1/2 pension for Teens 13 - 18 y.o and Mums alone with their kids 5 - 13 y.o . In a Family Apartment provided by the school for Hotels shown in the site Class: I will make my own housing arrangements people Economy ** NN First *** NN Travel I will travel from: Overseas Europe Arriving By air on Sunday at the Nice AirportArriving between 10 am and 3.30 pm and wish Private Transfer Service (20 Euros)Arriving on Sunday at the Nice Airport but arranging my own transfer to St-Raphael By private or rental car from By TGV train to St-Raphael from Arriving at I wish transfer assistance from the St-Raphael's Railway Station Health problems/accident In case of emergency, please inform: Name Phone number Other Options Share a room in family/hotel with: Adult lunch with teaching staff Student lunch for Teens 13 - 17 Light lunch for Children 4-12 y.o Participate in the Wine Skills and Tasting Course at Chateau St-Martin Aerobics at the Satori Gym Saturday cooking class Week-end Discover tour in Paris Other activities: Invoicing Your Business As you may know, your firm is entitled by law to deduct the tuition for your course from their annual tax declaration. You will get an official invoice from our school prior to your departure from Saint-Raphaël. Please invoice my business Name of firm Address Zip City Country Currency Special Instructions : Submit Registration * I hereby confirm my enrollment at FRANCE LANGUE & CULTURE ™ as per the above form and accept the general conditions governing the summer sessions. * And I hereby confirm that with this registration form by e-mail, I will send the registration fee of Euro 230 with Bank wire. I will be sent instructions of payment. Lately, many banks all around the world have a tendency to charge us all kind of extra commissions for bank operations. If you care to avoid that, you may pay us in cash upon arrival. That is often cheaper, easier and more convenient sometimes. You will feel more independant!