Registration Form | Summer School Radolfzell 2024
Name
*
First Name(s)
Last Name
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
What language(s) do you speak?
*
Birthdate
*
-
Day
-
Month
Year
Date
Name of one of the parents in charge of your registration.
*
First Name
Last Name
Phone Number of the parents in charge of your registration.
*
-
Area Code
Phone Number
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Gender:
*
Please Select
□ Female
□ Male
Nationality
*
My child has health restrictions (e.g. allergies, restricted mobility, chronic illnesses)
*
If yes, please describe the health conditions of your child more exactly; please also indicate if your child requires regular assistance or medications.
I would like to focus on the following specialized area in the camp, in addition to language.
*
Activity
Football
Urban Dance
Do you know how to swim?
*
Only for Football Camp: How many years of playing experience?
Only for Fußball Camp: Footwear Size
Only for Urban Dance Camp: How many years of dance experience?
Clothing Size
I want to visit the following language in the camp
English
German
Current language level für wanted visiting language:
*
Please Select
□ 0 - No knowledge (Not Acceptable in rodez fell please fill the form für lindau)
□ A1 - Basic knowledge
□ A2 - Elementary proficiency
□ B1 - Intermediate proficiency
□ B2 - Upper-intermediate proficiency
□ C1 - Advanced proficiency
Select date and duration.
*
Please Select
2 weeks from 28.07.2024
2 weeks from 04.08.2024
2 weeks from 11.08.2024
1 week from 18.08.2024
3 weeks from 04.08.2024
4 weeks from 28.07.2024
I agree that photos (stating my child's first name and the first letter of his/her last name) taken during the camp may be used for external marketing and public relations purposes of Carl Duisberg Centren.*
*
Special requests.
How did you find us?
*
I have read the Carl Duisberg Data Protection Policy..* https://www.language-camps-germany.com/service/data-protection-policy-language-courses
*
I have read and agree to the General Terms and Conditions for Carl Duisberg Language Courses. https://www.language-camps-germany.com/service/general-terms-and-conditions
*
I have read and agree that the 500 Euro registration fee is non-refundable after 48 Hour from the regestration.
Signature
*
Continue
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