We would like to register our son/daughter for the following language course mentioned in your brochure :
Student
Name
First name
Sex
M F
Date of birth

day / month / year
Nationality
Mother tongue


Address
Zip code
City
Country

Tel (home)

Tel (business)
Fax
E-Mail
Name of parents
(or guardian)
Emergency number of the parents
How long has the student been studying selected language ?
Send me your news by e-mail


Course
Note that some sports packages are not available all the time or in some camps.
Read more about it in our brochure or website
Course centre
Language
Course starting date (from Sunday)
Course ending date (to Saturday)
Course type
Conversation courses
yes No weeks
Private courses yes No weeks
Sports packages
Number of week
Week(s) for the selected sport

Accomodation
Dietary requirements (vegetarian, etc.)
I would like to be accomodated with (if possible)

Transportation
Airport transfer required
 

Arrival airport
Flight number
Arrival date
Arrival time
Coming from

Insurances
Cancellation insurance (≈3%)
Does the student have a health insurance?
For Switzerland Yes
No (obligatory: CHF. 180.-/month)
For France/Germany Yes
No (Please contract an insurance !)
If yes*, Type of insurance and name of insurance ?

*Please, send a copy of your insurance policy to ESL-Ecole Suisse de Langues, Grand-Rue 42, CP 1206, 1820 Montreux or by e-mail to info@esl-schools.org or by fax +41 21 621 88 89

Remarks
Remarks
How did you hear about ESL?

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)
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