EmailMe Form - Adult registration form

Name
First Last
Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region
Email
Phone
### - ### - ####
Level obtain in the test
Class suggested by the school
Have you study french before?
Yes
No
How many years?
Where?
Why did you choose to study French?
Please select your program.
Group classes
Individual classes
Select your individual classes
When would you like to start your french classes?
For individual class only
How did you learn about us?
Internet
Parents
Relatives
Commercial
Payment
The payment for all courses in our location has to be done before the first day of the course (no GST & PST is applied to tuition fees).
All teaching material are not included in these fees and have to be paid separately.
Method of payment
Payments can be made by cash or cheque payable to École Napoléon. *
I agree
Signature Initial
Date Time
MM / DD / YYYY