Student
Surname
Firstname
Sex
M F


Date of birth
Nationality
Mother tongue


Address
Zip code
City
Country

Tel (private)

Tel (business)
Fax
E-Mail
Send me your news by e-mail


Course

Course centre
Number of weeks weeks
Course starting date (from Monday)
Course ending date (to Friday)
Price CHF

Course type:








please specify
Lpw

How long have you been learning French? years

Knowledge of the language
Written :
Oral:

Obtained diploma(s) in French


Accomodation
Accommodation start date
Accommodation end date
Number of weeks
weeks


Host family
Room type
singledouble
Lunch
halfboardbreakfast

Would you prefer a smoker family ?
yes no it doesn't matter

Dietary requirements (vegetarian, etc.)
Do you have any health problem to mention ?
Other information we should know about?
Student's appartment
Room type
Hotel / Hostels
Room type
Lunch
Price range
From to CHF

Transportation
Airport transfer required
Arrival airport
Arrival date
Arrival time
Flight number
Coming from

Insurances
Cancellation insurance (3%)
Does the student have a health insurance?
If yes, Type of insurance and name of insurance ?

Remarks
Remarks
How did you hear about ESL? (Official representative or an other)
Have you already taken part in a language course? Yes
No

An enrolment fee of CHF 110.- is added to all course prices

An extra fee of CHF 140.-for last minute visa obtaining procedure (less than 1 month before the course start)

Confirmation & send the enrollment form
We totally agree to the general conditions of ESL (without this confirmation, it's not possible to send the on-line enrollment form)
RESEARCH :

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CONTACT :

ESL - Ecole Suisse de Langue
Grand rue 42
Po Box 1206
1820 Montreux 1
Situation plan

Phone + 41 (0) 21.962.88.88
Fax + 41 (0) 21.961.17.73
E-mail: info@esl-schools.org
Web: www.esl-schools.org
Contact us