Adult Returning Student Registration – Beginner A1+

Full Name*

Address*

City*

Postal Code*

Province / State*

Phone*

Email*

Course & Level: Beginner A1+

Class Schedule:
Wednesdays 6:45 PM – 7:45 PM (Fixed Schedule)

Payment Terms
The semester tuition is $850 due at the beginning of the semester.

Confirmation
I confirm that I would like to continue my enrollment in the Italian language program. I understand and agree to the payment terms stated above.

Student Signature (Type Full Name)*

Date*