Adult Returning Student Registration – Intermediate B1

Full Name*

Address*

City*

Postal Code*

Province / State*

Phone*

Email*

Course & Level: Intermediate B1

Class Schedule:
Saturdays 10:30 AM – 11:30 AM (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*