CHILDREN - SPANISH APPLICATION FORM

session: Xmas Holiday 2005

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 classes: ( please tick requirements )

week starting Monday 19/12 to Friday 23/12
GROUP 1 (age 3 to 6)
GROUP 2 (age 6 to 10)

Odd Afternoons (price £20.00)
Please tell us the day:

How did you hear from us?

Please note that fees are not refundable under any circumstances.

Signature: