2022 Booking Form - Young Language Learners

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10th Jan 2023

Bookings using this form are now closed as classes have begun.

There may still be places available if your student is not an absolute beginner. Please contact me by email on clionabrophy@gmail.com with details and I will discuss adding them to the class of choice. DO NOT fill out this form.

Thanks!

Cliona

Email *

GDPR Compliance:
By sending in this form you agree to my storing your contact details for any records relating to the classes booked. You also agree to my storing your email address for payment-related contact.
If PayPal chosen as payment method you agree to my storing your email address in my PayPal account.
I will not contact you for any other marketing purposes.
*

I agree

Required

Parent's Name and contact number: *

Child(ren)'s Name(s) and Surname(s)

Child(ren)'s Ages

Class: (*Level 2/3 are for students who completed lessons with me previously or have a certain level of experience with the language. Contact me for advice on placement if you're not sure) Tick any that apply and clarify in comment section below if necessary.

French Level 2 (Wednesday 10.30) (Last year's Beginners Mon & Wed classes amalgamated)

Beginners French (Wednesday 11.30) **NEW CLASS 2022** WAITING LIST

Beginners German (Wednesday 12.30) **NEW CLASS 2022**

German Level 2 (Wednesday 13.30) (Last year's Beginners Class)

If Beginners French is chosen is your child available for either advertised time? (In case of low class numbers I will only proceed with the time where most students are booked.)

Yes - either time is acceptable

No - only the marked time is acceptable

Clear selection

Email to send Zoom Code to: (can be child's own email if parent prefers)

Email to use for Google Classroom: (can be child's own email if parent prefers) (Back-up videos etc available here. Email must be a Google email.)

Preferred payment method

Bank Transfer (Invoice with details will be sent by email)

PayPal (PayPal account is not needed)

Clear selection

If PayPal selected above, please state the email address for Invoice:

Please read and agree to the terms and conditions: *

Read and agreed

If chosen class is full would you like me to offer you an alternative (time to be decided)?

Yes

No, only this time suits

Clear selection

Any other comment or leave blank:

A copy of your responses will be emailed to the address you provided.

Submit

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