Art Courses in Italy

NORMAL REGISTRATION FORM FOR
ART COURSES IN ITALY


 PART 1: PERSONAL DETAILS
Mr. Mrs. Ms.
First Name:
Family Name:
Date of Birth:
Day:
Month:
Year:
Nationality:
Mother Tongue:
Profession / Studies:
Home address:
City:
Zip code:
Country:
Phone:
Cellular:
Fax:
E-mail:

In case of emergency
please inform:

How did you hear about
Scuola Leonardo da Vinci?
If you find us on Internet,
please specify where:
 
If "others" or "via an
agency", please specify:
Why did you choose
Scuola Leonardo da Vinci?

 PART 2: ART & LANGUAGE COURSES
I wish to enroll in the following course:
  Starting Date:
Day:
Month:
Year:
Number of Weeks:
Do you want to enroll to another course?
Special request/observations or if you have chosen a design summer course
or a design master course please specify which:

 PART 3: MY KNOWLEDGE OF ITALIAN
Have you already studied Italian?
 No Yes
  If 'Yes' please complete the following:
University/School:
Street:
Zip/Post Code:
Name of the Italian teacher:
Self evaluation:
(A1/A2... = Ability level according to the assessment scale of the European Language Portfolio)
Are you interested in Italian Language Diploma examinations:
 No Yes

 PART 4: MY ACCOMMODATION
I wish the school to provide for my accommodation:
 No Yes
If 'Yes' please complete the following:
Type of accomodation:
Room type:
Hotel Category:
Others:
 If "Others", please give details:
N.B.:
Lodging costs for family and apartment
accommodation have to be paid upon the arrival in Italy.

For all accomodations: We need your credit
card number as guarantee to make reservations.
Do you smoke?
 No Yes
Do you have any allergies?
 No Yes
  If "Yes", please give details:
Do you need a special diet?
 No Yes
  If "Yes", please give details:
Do you need transfer?
 No Yes
If "Yes", please give details:
Arrival Date, Day:
Arrival Date, Month:
Arrival Date, Year:
Arrival Time:
Arrival Location:
Flight number:

Train number:
Special request/observations:

 PART 5: PAYMENT

Note that if you are registering more than 21 days before the beginning of the course, we require the payment of the registration fee of 70 Euro. If you prefer, you can also pay the total course fees at once.

Note that if you are registering less than 21 days before the beginning of the course, we require the payment for the total course fees.

 PART 5: PAYMENT BY BANK, POST, CHEQUE
I have already paid the amount of: Euro
Banker's Cheque
Post Money Order
 Via Bank (incl. transfer cost)

 PART 5: PAYMENT BY CREDIT CARD
Please charge the ammount of: Euro
by means of the following Credit Card:
For security reasons, please fill in the appropriate form with your credit card details (* and, in the case of Amexco, also the additional number), and fax it to the following number of our registration centre: +39 - 055.290.396 

 PART 6: TO SEND ENROLLMENT
My registration implies the acceptance of the General Conditions of Participation as mentioned in the Scuola Leonardo da Vinci web site and brochure.
Place:
Date:
I herewith confirm my enrollment at Scuola Leonardo da Vinci:

 PART 7: ABOUT THE PRIVACY

The participant authorizes the Scuola Leonardo da Vinci to include her/his personal data on a mailing list for the purpose of enrolment. The participant may also periodically receive informative, publicity or promotional material.

The participant may at any time, in accordance with Italian law (art. 13, 675/96), request that her/his personal data be removed from the mailing list of the School, by sending a written request via email, fax or mail.

Art Courses in Italy are presented by the Italian Language School Scuola Leonardo da Vinci
Art Courses in Italy are presented by the Italian Language School Scuola Leonardo da Vinci
 
presented and made by
ITALIAN LANGUAGE SCHOOL "Scuola Leonardo da Vinci"
Learn Italian in Italy in Florence - Milan - Rome - Siena
info: info@art-courses-italy.com