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| LANGUAGE ANYWHERE, Inc. |
| REGISTRATION FORM |
| Name : ____________________________________ Date of Birth: M____ / D_____ / Y______ Address: __________________________________ ___________________________________________ Phone: ____________________________________ E-mail:_____________________________________ Is your company sponsoring your program? o Yes o No. Have you ever studied French before? For how long? Where did you study? ______________________________________________ ______________________________________________ ______________________________________________ Do you wish to learn French for your work or your personal interests? If for work, please describe your field of work. ______________________________________________ ______________________________________________ ______________________________________________ Is there a particular area on which you would like to focus? ___________________________________________ ___________________________________________ Please describe what you expect from your class: ___________________________________________ ___________________________________________ How did you hear about us? ___________________________________________ Policy: Your registration will be processed once we receive your payment, which is due before the beginning of your program. Please make sure to contact your instructor at least 24 hours in advanced if you cannot attend a class, any cancellations made within 24 hours will be charged. |
| Contact our programm coordinator at French classes@languageanywhere.com prior to sending your registration form since classes may already be filled. |