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German course registration

Title*:


Family Name*:
First Name*:
Date of birth*:
In case of minors, name of parent/guardian:
Address*:
City/post code*:
Phone:
E-Mail*:
Profession:
Nationality*:
Native language*:
I would like to register for the following course:*:
Intensive Course (20 x 45 min/week)
Intensive with Conversation (25 x 45 min/week)
Intensive with Writing (25 x 45 min/week)
Intensive with Conversation and Writing (30 x 45 min/week)
Intensive plus 5 Private Lessons (25 x 45 min/week)
Intensive plus 10 Private Lessons (30 x 45 min/week)
Intensive plus Exam Preparation Course (30 x 45 min/week)
Exam Preparation Course only (10 x 45 min/week)
Super-Intensive (30 x 45 min/week)
Semi-Intensive (10 x 45 min/week)
Evening Course (4 x 45 min/week)
Evening Course plus (6 x 45 min/week)
Weekend Course (10 x 45 min/week)
Private Lessons
Flexible Group Courses
Course start Intensive:
Course start Intensive + Conversation:
Course start Intensive + Writing:
Course start Intensive + Conversation + Writing:
Course start Intensive + 5 Private Lessons:
Course start Intensive + 10 Private Lessons:
Course start Intensive + Exam Preparation:
Exam*:
Date Exam Preparation telc:
Date Exam Preparation TestDaF:
Exam*:
Date Exam Preparation DSH:
Date Exam Preparation Goethe:
Date Exam Preparation Studienkolleg:
Course Date Super-Intensive:
Course Date Semi-Intensive:
Course Date Evening Course:
Course Date Evening Course plus:
Course Date Weekend Course:
How long should one course session last?:
How long should one course lesson last?:
How many sessions of the above duration do you want?:
How many sessions of the above duration do you want?:
Number of weeks*:
Number of weeks*:
Number of weeks*:
Number of weeks*:
Number of weeks*:
Number of weeks*:
Number of weeks*:
Number of weeks*:
Comments:
I have some knowledge of the language at the following level*:
Where and for how long have you learned German::
Other foreign language knowledge:
Would you like to register for a telc exam?:


I would like to sit a German telc exam at Ehrstein:
Date of exam:
Do you need accommodation?:


Accommodation*:
Comments:
Other Services:
University service "complete"
University service "on-site only"
Health insurance: Care College Comfort
Health insurance: Care Economy
Liability insurance (mandatory for bookings with accommodation)
Airport transfer service

Other

Why do you want to learn German?:
How did you hear about our language school?:
Please specify::
Remarks:
Terms and Conditions*:
I agree to the General Terms and Conditions.

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