SUMMER SCHOOL 2018 - LEVEL 2 (6 - 13 anys /6 - 13 years)
FORMULARI D'INSCRIPCIÓ / REGISTRATION FORM
Email address *
LEVEL 2 (6 - 13 anys/ 6 - 13 years)
DATES: del 2 al 27 de juliol / from the 2nd to the 27th of July

DIA DE PORTES OBERTES PER ALS ALUMNES INSCRITS AL SUMMER SCHOOL:
Dijous 28 de Juny a les 16:00h
OPEN DAY FOR CHILDREN REGISTERED FOR SUMMER SCHOOL:
Thursday 28th June at 16:00h

Nom i cognoms de l'alumne/a / Pupil's full name: *
Your answer
Data de naixement / Date of birth: (NO HI HA PLACES PER ALS ALUMNES NASCUTS ALS ANYS: 2011, 2010, 2007 i 2006 - NO PLACES FOR CHILDREN BORN IN THE FOLLOWING YEARS: 2011, 2010, 2007 and 2006. ) *
MM
/
DD
/
YYYY
Sexe / Gender: *
Required
Codi i número de la targeta del servei català de la Salut / Health card number(CATSALUT): *
Your answer
Adreça / Address: *
Your answer
Codi postal / Postal Code:
Your answer
Població / Town: *
Your answer
Província / Province:
Your answer
Nom i cognoms dels pares o tutors / Parents' full names : *
Your answer
Telèfons de contacte / Contact telephone numbers:
Your answer
Correu electrònic de contacte / contact Email address: *
Your answer
Escola / School: *
Your answer
Curs actual / Class: *
Required
Estudia anglès en una acadèmia d'idiomes? Does the pupil study English apart from at school? *
Quantes hores fa de llengua anglesa durant la setmana? (Centre Educatiu i/o Acadèmia) How many hours does the pupil study English during the week?
Your answer
Nom i editorial del llibre de text que utilitza / Name of book and editorial used:
Your answer
Té algun certificat o títol d'anglès / Has the child any English qualification? (Cambridge: Starters, Movers, Flyers, Ket...)
Your answer
Observacions / Observations:
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