Adult Enrollment Form

Please Complete Adult E-Enrolment Form below

Name of Student :

Phone:

Email Address:

Postal Address:

Program that interests you: General Program    Conversation Weekend:

5 Days:      7 Days:

14 Days:      28 Days:

Would you like me to
Post:
Email:      General Procedure:
Risk Assessment Form:
Price List & Timetable:
DVD:

Date of arrival:

Date of departure:

Port of Departure (eg: Sydney, Brisbane, Melbourne):

Airport Return Transfer required (please select): Yes    No

Airport Return Transfer from Coolangatta/Ballina/etc (please select): Coolangatta    Ballina
Brisbane   Other airport

Have done French before:
Yes    No

How long ago?

Length of time studied

Level High School:
University:
Other French institution:
Other (please specify below):

Months Years

Months Years
Hours

Beginner Intermediate Advanced

Are other friends joining you?

How many?
Yes No

A partner? Yes No

Approximate number of students:

Female students:

Male students:

Any accompanying teachers?

Name of teacher
Yes No

Other comments:

Please Complete Adult E-Enrolment Form below
Name of Student :
Phone:
Email Address:
Postal Address:
Program that interests you:	General Program Conversation Weekend: 5 Days: 7 Days: 14 Days: 28 Days:
Would you like me to Post: Email:	General Procedure: Risk Assessment Form: Price List & Timetable: DVD:
Date of arrival:
Date of departure:
Port of Departure (eg: Sydney, Brisbane, Melbourne):
Airport Return Transfer required (please select):	Yes No
Airport Return Transfer from Coolangatta/Ballina/etc (please select):	Coolangatta Ballina Brisbane Other airport
Have done French before: Yes No How long ago? Length of time studied Level	High School: University: Other French institution: Other (please specify below): Months Years Months Years Hours Beginner Intermediate Advanced
Are other friends joining you? How many?	Yes No
A partner?	Yes No
Approximate number of students: Female students: Male students:
Any accompanying teachers? Name of teacher	Yes No
Other comments: