Registration Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Registration Form

Must be completed at least 30 days before the beginning of the desired course

Name *

Last Name *

Date of birth *

YYYY

City of birth *

State of birth *

Address *

City *

Zip code *

Country *

Passport number

Telephone number *

E-mail *

Repeat email *

Gender

Clear selection

I intend to participate in the course during the month of

period *

Italian Knowledge *

None

Little

Medium

Good

Advanced

What is the name of the school where you have studied Italian?

In what city is your school located?

Instructor’s name

What book did you use?

How did you learn about Edulingua? *

Accommodation *

Double room in an apartment with other students including a shared bathroom and kitchen (included in the price) [1]

Double room with private bathroom and use of the common kitchen in the building Servanzi Confidati (also home of the school) +7 € per night per person [1]

Small apartment for two people with one bedroom, bathroom and kitchen + 15 € per night per person [1]

Single room with private bathroom and use of the common kitchen in the building Servanzi Confidati (also home of the school) +10 € per night

Small apartment for one person with one bedroom, bathroom and kitchen + 30 € per night

Double room for single use (for one person) with private bathroom and use of the common kitchen in the building Servanzi Confidati (also home of the school) + 15 € per night

Single room in an apartment with other students including a sharing bathroom and kitchen +8 € per night

Double room for single use (for one person) in an apartment with other students including a sharing bathroom and kitchen + 10 € per night

[1] only for students who travel together

the internet wi-fi is included in the price of the accommodation

during cold months, students have to pay some of the heating costs (price varies depend of the desired temperature and the used time)

I will send the registration deposit of 185 euros *

Credit card with online payment (bank fees equal to 3% of the amount). After submitting the form you will receive an email with further information.

Bank transfer of €185 (net of bank fees) must be sent to:

If the student withdraws from the course with at least a 60 days notice prior to the start date of the course, the 185 euros minus 30% for bank and administrative expenses will be refunded. If the student withdraws from the course for any reason (visa denial, illness, mourning, pandemic, etc.) without at least 60 days notice, he/she will lose the 185 euros.

I want to buy an insurance for the cost of 70 euros to protect my deposit *

YES

With this insurance the student can cancel his participation in the course for any reason up to the Friday before the starting date of the course and will receive a refund of the deposit of 185 euros by bank transfer. The sending cost of the wire will be held by Edulingua and the cost upon receipt will be held by the student. The insurance payment must be made at the time of enrollment.

I declare that I have read the following general terms and accept them *

YES

Authorization *

The undersigned, in compliance with the provisions of articles 7, 13 and 14 of the EU General Regulation 679/2016, expressly authorizes his/her free consent to the processing of the personal data requested above, also "the special ones", for the purposes and methods mentioned in the information note that can be found at https://www.edulingua.it/privacy , as well as the communication of the same within the limits , for the purposes and for the duration specified in the same information note.

Notes

General Conditions

• Once Edulingua receives the registration form, they will send an email containing the instructions to pay the deposit of 185 euros.

• A confirmation email with the registration form and the accommodation booking confirmation will be received once Edulingua receives the deposit of €185. Payment must be made within one week of receiving the confirmation email.

• The deposit (-30% of administrative expenses) will be refunded only if the cancellation occurs at least 60 days before the beginning of the course (for no reason the deposit will be refunded after that date, including failure visa denial, illness, mourning, pandemic and any other reason)

• If at the time of enrollment the student has purchased the insurance of 70 euros to protect his/her deposit, he/she will be able to cancel his participation for any reason by the friday before the start of the course and will receive a refund of 185 euros with bank transfer. The sending cost of the wire will be held by Edulingua and the cost upon receipt will be held by the student.
.
• No refund of the entire fee will be granted in case the student, for any reason, drops the course after its beginning

• A fee of 3% is charged for payments made by credit card.

• The balance must be paid on the first day of the course.

• The accommodation fee (included in the course price) must be paid separately. Any bank charges must be paid directly to the school along with the balance.

• Minors have to present parental authorization.

• Insurance: the students are responsible for any damage caused to the school property. The participants are not insured by the school in case of sickness, accidents, or robbery. The students must seek information from their local authorities to know if they will be insured during their stay abroad.

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms