CHILDREN - SPANISH APPLICATION FORM

session: JANUARY 2012

Ref:

Please fill in and

Please find enclosed a cheque to the value of: £

PLEASE MAKE CHEQUE PAYABLE TO:

French & Spanish a la carte
97 Revelstoke Road,
London. SW18 5NL
TEL: (020) 8946 4777
FAX: (020) 8944 8185
e-mail: frenchandspanish.alacarte@talk21.com
website: www.frenchandspanishalacarte.co.uk

Name:

Address:

Daytime Phone:
Evening Phone:

Plesase tick the appropriate answer:

boy / girl
name:
age:
has he/she done Spanish before?
Yes - how many years
No
Comments:

Pleas use the other side of the page if you want to add something.

I wish to enrol my toddler in the following class: ( please tick requirements )

The course will run for 11 WEEKS - (NO CLASS DURING HALF TERM, WEEK BEGINING 13th FEBRUARY 2012).

1. age 2-4 day-time playgroup (2 hour classes)
starting Wednesday 11/01/12 13.30 - 15.30
price (for the 11 WEEK session): £205.00 for 1 class per week
2. age 4 (1 hour classes)
starting Wednesday 11/01/12 16.00 - 17.00

3. age 5-6 LEVEL 1 (1 hour classes)
starting Saturday 07/01/12 10.00 - 11.00

4. age 7-8 LEVEL 2 (1 hour classes)
starting Saturday 07/01/12 11.00 - 12.00

5. age 9-12 LEVEL 3 (1 hour classes)
starting Saturday 07/01/12 9.00 - 10.00 am

6. age 13+ & GCSE (1 hour classes)
starting Saturday 07/01/12 9.00 -10.00 am
price (for the 11 WEEK session): £130.00 for 1 class on saturday

VIDEOCLUB

I wish to enrol in the videoclub ( French films ) - £ 50.00 for the year, this includes the subscription and hiring of videos.
A list of titles is available on request.

How did you here from us?

Please note that fees are not refundable under any circumstances.

Signature: