Online enrolment

Online enrolment youth programme 13-16

Personal data

First name*:

Last name*:

Sex*:

Date of birth*:

Occupation*:

Address*:

Zip*:

City*:

State/county/prov.:

Country*:

Telephone 1*:

Telephone 2:

Telefax:

E-Mail*:

Website:

Language knowledge

Mother tongue*:

Other languages:

Where did you learn german?*

Where else?

How long did you learn German?*

How many years ago did you learn German?*

HELP for self assessment on the right

Your level*:

Additional information:

Courses & services

A2 23.06.-04.07.2008

B3 07.07.-25.07.2008

B4 30.06.-25.07.2008

C2 28.07.-15.08.2008

C3 28.07.-08.08.2008

Accommodation

Accommodation type*:

Allergies:

Arrival*:

Airport transfer:

Flight details:

Payment

Payment method*:

Payment details*:

I will make a deposit of EUR 300.-- within the next 3 days. I will pay the rest at latest before the course starts.*
I already made a deposit of EUR 300.-
I already effected full payment

Special requests

Special requests

Conditions of participation

Conditions of participation*:

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