Registration Form Name Surname Sex Maschio Femmina Email Address Country Phone Number Number of cell Fax Date of birth Native language Other languages How did you hear about our school? My current level of Italian is: Choose a levelabsolute Beginnerelementaryintermediateaverageadvancedtop I wish to enroll in the course Choose a courseA - Intensive (6 hours / day)B - Standard (4 hours / day)C - Holidays (2 hours / day)D - Individual (4 hours / day)E - Combi (4 +2 hours / day)F - Part-time (2 hours, 3 days / week)G - Language & StageH - Language & kitchen Course start dates: select course date05 January 201512 January 2015 (not suitable for absolute beginners)19 January 201526 January 2015 (not suitable for absolute beginners)02 February 201509 February 2015 (not suitable for absolute beginners)16 February 201523 February 2015 (not suitable for absolute beginners)02 March 201509 March 2015 (not suitable for absolute beginners)16 March 201523 March 2015 (not suitable for absolute beginners)30 March 201507 April 201513 April 2015 (not suitable for absolute beginners)20 April 201527 April 2015 (not suitable for absolute beginners)04 May 2015 (not suitable for absolute beginners)11 May 201518 May 2015 (not suitable for absolute beginners)25 May 201501 June 2015 (not suitable for absolute beginners)08 June 201515 June 2015 (not suitable for absolute beginners)22 June 201529 June 2015 (not suitable for absolute beginners)06 July 201513 July 201520 July 201527 July 201503 August 201510 August 201517 August 201524 August 201531 August 2015 (not suitable for absolute beginners)07 September 201514 September 2015 (not suitable for absolute beginners)21 September 2015 (not suitable for absolute beginners)28 September 201505 October 201512 October 201519 October 2015 (not suitable for absolute beginners)26 October 201502 November 2015 (not suitable for absolute beginners)09 November 201516 November 2015 (not suitable for absolute beginners)23 November 201330 November 2013 (not suitable for absolute beginners)07 December 201515 December 2015 (not suitable for absolute beginners) Number of weeks Please reserve the following accommodation: nonesingle roomPlace in a double roomstandard apartmentResidence / Apartment ComfortstudyFamily - self cateringFamily - half board I paid the registration fee / tuition equal to the entire Euro: Method of payment Select payment typebank transferpostal orderWestern Union Notes Don't fill this field!