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French Holiday Program
School incursions
Become a French Actor for a semester!
Contact
Student information
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Name
*
First
Last
Age
*
Sex
*
Female
Male
If more than one child, please write first name, age and sex here
*
Email
*
Nationality
*
What language do you speak at home?
*
School name
*
School year
*
Please, choose one or more options
*
18 to 22 January 2021
12 to 16 April
Group, select One
*
Les Brioches
Les Mille-feuilles
Parent information
Parent Name
*
First
Last
Address
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Line 2
City
State
Zip Code
Country
Email
*
Confirm Email
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Mobile phone
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Home Phone
*
Emergency contact
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Medical condition we should know:
*
Phone Number
*
Permission to use photography
*
Yes
No
Under some conditions
When you click yes you allow us to use photography for publicity purposes: website, facebook page, press.
If Under some conditions, please precise.
*
Please tick
*
I understand that I have to pay $50 of annual administration fee per family.
I understand that I have to pay fees before class.
Date
*
How did you hear about us?
*
Friends
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Other
If Other, please precise
*
I agree to receiving marketing and promotional materials
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Home
French Holiday Program
School incursions
Become a French Actor for a semester!
Contact
