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Program Options
University Students
Semester Study Abroad
Summer Study Abroad
Adult Programs
Learning Vacations
Teacher Programs
Immersion Weekends
Teenagers
Junior Programs
 
 
Teacher Training Registration Registration Form
 
Last Name
First Name
Home Address:
Street
City
State 
Zip
Home Phone
Work Phone
E-mail
Fax
Emergency Contact Person:
Last, First Name
Relationship
Contact Address
City
State
Zip
Contact Home Phone
Work Phone
How did you find out about our programs?
Date of birth
Place of birth
Profession
Passport No.
Expiration Date
Desired program duration
1 week 2 weeks
4 weeks Other : # of weeks 
Preferred dates: From   to  . 
Knowledge of French
High-intermediate Advanced
Preferred Location:
Paris Tours
Aix-en-Provence Bordeaux
Nice
Desired Accommodation:
1st
choice		 2nd
choice		 1st
choice		 2nd
choice
Private Home (B&B) Private Home (Half board)
2-star hotel 3-star hotel
Privately Owned Efficiency Apt Residence Efficiency Apartment (3-star rating)
1-Bedroom Apartment (3-star rating)
For how many persons
Note: Please list your first and second choice since some options may not be available for all programs or dates
Activities of Interest:
Tennis Golf Swimming Sailing/Windsurfing Bicycling
Theater Concerts Reading Hiking Jogging
Art Other         
I agree that the above information I have provided is true to the best of my knowledge.
Please charge the $500 deposit to my:
Card holder name Credit card number: 
Expiration date:   
Choose a city ...
Aix-en-Provence
Bordeaux
Nice
Paris
Tours
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