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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)
telc Exam Preparation Course (10 x 45 min/week)
Evening Course (4 x 45 min/week)
Semi-Intensive (8 x 45 min/week)
Private Lessons
Flexible Group Courses
Summer-Intensive Course (20 x 45 min/weeek) with activities
Course start Intensive:
Date Exam Preparation telc:
Course Date Summer:
Number of weeks*:
Course Date Evening Course:
Course Date Semi Intensive:
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*:
I have some knowledge of the language at the following level*:
Comments:
Where and for how long have you learned German::
Other foreign language knowledge:
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.
Titel
* Required field

Please enter the numerical code *
Zahlencode
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