Intensive Camp Registration Form

1
What type of camp would you like to book?* Ce champ est requis.
Solo CampDuo Camp
2
Learner's name and surname:* Ce champ est requis.
3
Learner's names and surnames:* Ce champ est requis.
4
Enter your email address here* Ce champ est requis.If you are already registered at VivaLing, kindly provide the email address associated to your account.If you do not yet have a VivaLing account, we invite you to create one by clicking here before continuing with your registration.
5
Enter your phone number here* Ce champ est requis.We won't use your number for commercial purposes but only to assist you if needed during a camp or regular sessions.
6
In which language will this camp happen?* Ce champ est requis.
English
Spanish
French
7
In the language of the camp, can the learner make complete sentences without help?* Ce champ est requis.
Yes
No
8
In the language of the camp, does the learner know the following vocabulary?* Ce champ est requis.
yes/no
- Numbers:
Yes
No
Row 0, Colonnes 0
- Colors:
Yes
No
Row 1, Colonnes 0
- Letters:
Yes
No
Row 2, Colonnes 0
- Animals, school, home, food...:
Yes
No
Row 3, Colonnes 0
- Basic actions: to be, have, want, like, play, etc...:
Yes
No
Row 4, Colonnes 0
- Numbers:
- Colors:
- Letters:
- Animals, school, home, food...:
- Basic actions: to be, have, want, like, play, etc...:
yes/no
Yes
No
Row 0, Colonnes 0
yes/no
Yes
No
Row 1, Colonnes 0
yes/no
Yes
No
Row 2, Colonnes 0
yes/no
Yes
No
Row 3, Colonnes 0
yes/no
Yes
No
Row 4, Colonnes 0
1 of 5
9
What are the learner's learning objectives for this camp?* Ce champ est requis.Multiple answers possible
Speaking and Conversation skills
Writing skills
Listening Comprehension skills
Reading Comprehension skills
Improve grammar/vocabulary
Autre
10
Which camp formula would you like?* Ce champ est requis.Due to the holiday season - 4 sessions at the same time held Monday, Tuesday, Thursday and Friday, no session on Wednesday.
4 x 25 minutes
4 x 40 minutes
4 x 55 minutes
11
Choose the theme of your English camp:* Ce champ est requis.
Christmas DIY
Christmas Baking
Video Games
Harry Potter
Exam prep
12
Choose the theme of your French camp:* Ce champ est requis.
Christmas DIY
Christmas Baking
Harry Potter
Exam prep
13
Choose the theme of your Spanish camp:* Ce champ est requis.
Christmas DIY
Christmas Baking
Harry Potter
Exam prep
14
Please specify the exam you wish to prepare:* Ce champ est requis.
15
Choose the camp week:* Ce champ est requis..
30 Dec-03 Jan (except Wednesday)
16
Where will you be during camp week?* Ce champ est requis.Please specify your location at the time of the camp in order for us to find a coach available in your time zone.
17
What would be your ideal time for this camp?* Ce champ est requis.We will do our best to meet your 1st choice.
Choice 1 :
Choice 1 :
8h00
8h30
9h00
9h30
10h00
10h30
11h00
11h30
12h00
12h30
13h00
13h30
14h00
14h30
15h00
15h30
16h00
16h30
17h00
17h30
18h00
18h30
19h00
19h30
20h00
20h30
Choice 2 :
Choice 2 :
8h00
8h30
9h00
9h30
10h00
10h30
11h00
11h30
12h00
12h30
13h00
13h30
14h00
14h30
15h00
15h30
16h00
16h30
17h00
17h30
18h00
18h30
19h00
19h30
20h00
20h30
18
Does the registered learner have a profile on your VivaLing account?* Ce champ est requis.
YESNO
19
If {PrenomNomapprenant} do not have a profile, we will not be able to register your camp upon receipt of this form.

To create a profile for {PrenomNomapprenant} from your VivaLing personal account, click on "Add a learner" in the "Learners" section. Once this is done, we invite you to finalize your registration for the camp at this step.

If you need help, please contact support@vivaling.com.
20
Do the two learners registered for this camp each have their own profile created on your VivaLing account?* Ce champ est requis.
YESNO
21
If the learner(s) registered for the camp do not have a profile, we will not be able to register your camp upon receipt of this form.

To create one or more profiles from your VivaLing personal account, click on "Add a learner" in the "Learners" section. Once this is done, we invite you to finalize your registration for the camp at this step.

If you need help, please contact support@vivaling.com.
22
Is your VivaLing account credited with the amount of the chosen camp?* Ce champ est requis.
YESNO
23
If your VivaLing account is not credited with the amount of the choosen camp, we will not be able to register your camp upon receipt of this form.

We invite you to choose your method of payment on the following page.
24
Method of payment:* Ce champ est requis.
I pay the camp, from my VivaLing account, in the currency of my choice, before validating this form.
I pay the camp, directly online, from this form (Available currency: Euro only)
25
Camp payment:* Ce champ est requis.
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ORDER SUMMARY
Total costEUR
Click here to select the camp you want to pay for
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Choose the camp
Choose the camp
Solo Camp 4 x 25 min
Solo Camp 4 x 40 min
Solo Camp 4 x 55 min
Duo Camp 4 x 25 min
Duo Camp 4 x 40 min
Duo Camp 4 x 55 min
Choose here the type of camp (solo or duo) and the duration of the sessions.
Total cost €0.00
Prénom
Nom de famille
26
VivaLing Camps Cancellation Policy:* Ce champ est requis.
27
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