Enrolment

Personal Details

Family Name*:
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Name*:
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Family E-mail Address*:
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Sex:
   
Date of birth*:
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Age*:
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Address*:
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Nationality*:
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Parent(s) Name*:
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Parents contact numbers
Home*:
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Mobile*:
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What is the personality of your son/daughter?
Favourite Activities:
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Course Details

Duration:
From:
to:
Level of Italian

Accomodation in host family

      
Is there anything else we need to know (diets, medical problems, allergies, dislike of pets...) in order to help us find you a suitable family?
Permission to go out during the evening
(maximum return time at midnight)
   
Permission to go out on Sunday
   
I confirm that I have read the general conditions and accept them:
Notes