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Study Italian abroad program
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ENROLMENT FORM
The enrolment form can be filled in directly on this page or can be downloaded in Word or .pdf version and sent by e-mail/mail/fax.

NB: Students under 18 need their parents’ authorization and signature, therefore the enrolment form must be sent by fax.
Name Surname
Date of birth Place of birth
Nationality    
Address
Town/City Province
Post code Country
Telephone number Fax
Email Job
Sex: male female    
Knowledge of Italian:
beginner level
elementary level
intermediate level
advanced level
I would like to book:    
a standard study Italian abroad program of 20 weekly hours in a group (C20)
an intensive study Italian abroad program of 20 weekly hours in a group + 10 individual lessons (C2010)
  an Italian family homestay course (C2020) of 10 weekly hours (CH10)
of 15 weekly hours (CH15)
of 20 weekly hours (CH20)
weekend (CHW)
   
Italian language classes  (C3020) of 20 hours (CM20)
of 30 hours (CM30)
of 40 hours (CM40)
of 50 hours (CM50)
of 60 hours (CM60)
of 80 hours (CM80)

an individual course (CI)
a course in preparation for the certification of Italian as L2 (CILS, CELI) (CL2)
  a special course cooking course (CS1)
painting and drawing (CS2)
raku (CS3)
history of art (CS4)
Date of arrival Date of departure
I will make my own reservation for the accommodation: YES NO
If I don’t, I would like to make a reservation for:
An independent flat
A flat with other students
A room with a family, including breakfast and use of kitchen
A room with a family-half board
Youth hostel
Bed & breakfast
Farmhouse
Hotel
I prefer to stay: in town in the country
I have a car: YES NO
Terms of payment:
Bank transfer
International money order
Eurogiro
MoneyGram
International postal giro
How have you heard about Reggio Lingua ?
       
I hereby agree that I have read and understood the rules and policies of the school administrators.

Date





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Our school | Why Reggio Emilia? | Study Italian Abroad Program | Italian Family Homestay
 Italian Classes| Italian Culture Courses | Prices | Reggio Emilia Accommodation
Free Time in Reggio Emilia | Enrolment Form | Where is Reggio Emilia? | Contact Us