Stanstead College Language Adventure
Application Form - Language Adventure June 30th -July 27, 2019
Participant's last name *
Your answer
Participant's first name *
Your answer
Gender *
Date of birth *
MM
/
DD
/
YYYY
Age at start of camp *
Your answer
Citizenship *
Your answer
Country of residence *
Your answer
First language *
Your answer
Other languages *
Your answer
Current school *
Your answer
Program *
Ability in second language *
T-shirt size *
Parents Information
Father's Name *
Your answer
Mother's Name *
Your answer
Participant lives with *
Address *
Where participant lives
Your answer
City *
Your answer
Province/State/Territory *
Your answer
Postal Code/Zip Code *
Your answer
Country *
Your answer
Best contact information
Best information for Stanstead College to reach you
Name of contact person *
Your answer
Contact telephone number *
Please specify if cell/home/office number
Your answer
Alternate telephone number *
Please specify if cell/home/office number
Your answer
Contact email address *
Your answer
Alternate email address *
Your answer
Additional information
Invoice should be made out to *
Medical insurance while in Canada *
Does participant need transport to and from Montreal International Airport (YUL) *
Thank You!
You will receive a confirmation by email of your registration within 5-7 business days. If you do not receive a confirmation email, please contact us at summer.school@stansteadcollege.com or by phone 819-876-7891 ext. 246
How did you hear about us? *
Agent Information if applicable
Name - Email - Phone number
Your answer
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