2023-2024 Dutch language classes for adults

Student Registration Form

This registration form is for students who want to join the Dutch language adult classes at the Dutch School Silicon Valley for the school year of 2023-2024.
To register, please fill out the form.
- Class placement will take place at the start of a semester, when a minimum of 3 students have signed up.
- The first semester starts in September, the second in January and ends in May.
- Payment of the tuition and registration fee will take place after class placement and before classes start.
- You will be informed by e-mail when there is a class available for you to attend. Placement will be upon your agreement.
- Dutch language classes for adults are online with 8 in-person conversation lessons.
Student Name

First NameMiddle NameLast Name
Birth Date

MonthDayYear
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Preferred E-mail
example@example.com
Phone Number
Preferred Online Class time

Weekday EveningSaturday Morning
Why are you interested in learning Dutch?
What have you done already to learn the Dutch language? (Duolingo, kids books, other courses etc.)
Additional Comments
Should be Empty:

Student Registration Form