PRE-REGISTRATION WITH CRACOVIA ACADEMY

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CRACOVIA ACADEMY
French Language School in France

Save on Your Course Fees

Pre-register now

The pre-registration is not binding in any way! Pre-registration requires no initial payment and it grants you discount!!!

Within the next 48 hours after you have submitted this form, Institut International de Rambouillet will contact you to confirm your pre-registration form has been received and to provide you with further instructions on how to formalize your registration to study at the school. The booking is made directly between the student and the language school.

DISCOUNT apply only when using this form!

PERSONAL INFORMATION

Your First Name:
Your Second Name:
Gender:
Nationality:
Date of Birth:
Occupation:
Mailing Address:
City:

State:
Zip/Postal Code:
Country:
Home Phone:
Fax:
E-mail:
Alternative e-mail:
Emergency Contact name:
Emergency Contact Phone:

PROGRAM SESSIONS ATTENDING

2007 Winter and early Spring	2007 Summer
Session 1: 05 Feb - 16 Feb Session 2: 19 Feb - 02 March Session 3: 05 March - 16 March Session 4: 19 March - 30 March Session 5: 02 April - 13 April Session 6: 16 April - 27 April	Session 01 (June 18 ~ June 29) Session 02 (July 02 ~ July 13) Session 03 (July 16 ~ July 27) Session 04 (July 30 ~ Aug 10) Session 05 (Aug 13 ~ Aug 24) Session 06 (Aug 27 ~ Sept 07) Session 07 (Sept 10 ~ Sept 21) Session 08 (Sept 24 ~ Oct 05)

Additional Super-Intensive Semi-Private Option:    Yes No

Additional Super-Intensive Private Option:    Yes No

Odd weeked Polish language Session:    Yes No

ACCOMMODATION

Please choose your type of accommodation according to the choices in the school description:

CRACOVIA - SODISPAR Apartments
PROLOG Residential - Private
PROLOG Residential - Roommate
D.S. Bydgoska Hotel - Private
D.S. Bydgoska Hotel - Roommate
HomeStay

THANK YOU !

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