WEEKLY Enrolment-FRENCH LEARNER

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Student information

* Indicates required field

Child #1 Name *

First

Last

Child #1 DOB *

Child #1 Sex *

Female Male

Child #2 Name (if applicable) *

First

Last

[object Object]

Child #2 DOB (if applicable) *

Child #2 Sex (if applicable) *

Female Male

If more than two children, please write first name, age and sex here *

Nationality *

What language do you speak at home? *

Level of French *

School name *

School year *

Parent information

Parent Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Email *

Confirm Email *

Mobile phone *

Home Phone (if applicable) *

Emergency contact *

First

Last

Emergency Contact Phone Number *

Medical condition we should know: *

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 $55 of annual administration fee per family. I understand that I have to pay fees before class.

Date *

How did you hear about us? *

Friends Website Facebook page Other

If Other, please precise *

If you have been referred please put the name of the person who is referring you : *

I agree to receiving marketing and promotional materials

Submit

We acknowledge that we are living on Aboriginal land.
We pay respect to the First People of this country.
We love to learn from their dreams.

Contact us

Home
- Testimonials
Adults
- Become a French Actor
Performances
- Past Performances
Children
Contact
About us