Zoom Language Class Registration Form (v2)

Les Puces French Zoom classes
(Group or Private options)

The book, project and worksheets are sent to you in the post and you work through them with your teacher either in private or group Zoom classes.
Your Details

Bonjour! We're really looking forward to welcoming you to a Les Puces Zoom online learning course. Your first pack is just about ready to post to you, but we need to take a few pieces of informationso we can get your book and project to the right place and find a class that's at a convenient time for you and your teacher. You will not be invoiced yet - this is to get the ball rolling!

All information provided on this form will be transferred onto our secure database, and will not be shared with any other company - in line with GDPR regulations.

If you have any questions about this form, please contact bonjour@lespuces.co.uk
Your First Name*
Your Last Name*
Mobile Number*
Please enter your mobile number, inc. country code.
E-mail*

Confirmation EmailPlease enter and confirm your email address.
Address*

Street Address

Street Address Line 2

CityCounty

PostcodeCountry
Would you prefer private classes for your family or would you like to join a small group (4 families maximum)
Private or group class

PrivateGroup
Number of Children*
How many children are attending?
Excess postage charge
Hidden field for holding postage for international customers.
Total cost per block
Total cost per block of classes
Please may we use pictures of your child / children or their work in our marketing or promotional material?*

YesNo
Do you want to receive our newsletter?*

YesNo
Where did you hear of us?
e.,g. Website, Instagram, Facebook
Terms & Conditions

As Parent and/or Guardian of the children, I hereby agree to the terms and conditions as set out on the following page Terms & Conditions
Confirmation

BY SUBMITTING THIS FORM I HEREBY INDICATE THAT I AM ACCEPTING THE TERMS & CONDITIONS AS DESCRIBED ABOVE.
Should be Empty:

Les Puces French Zoom classes

(Group or Private options)

Your Details