Biarritz French Courses Institute : Registration request

Sport and cultural linguistic stays for adults and teenager

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Registration

This is an official registration form for BFCI classes.
Please complete the below registration form and submit it.

Boxes with a star * must be completed

Formulaire

Civility * :

Surname * :

First name * :

Address * :

Postal code * :

City * :

Country * :

Phone number * :

Mobile :

Fax :

E. mail * :

Date of birth :

Nationality :

COURSE

Which formulas of course choose ? * :

How many weeks ? * :

Dates of your stay :

From * : To * :

Your level in french ? * :

ACCOMMODATION

Which lodging choose ? * :

Date of arrival in the family ? :

Date of departure of the family ? :

Which hotel ? :

If you wish that we undertake the reservation, do not hesitate to give us information :
Nunber of nights, single room ...

Are you ? : Vegetarian Smoker Allergies

If you have allergies, tell us which ? :

TRAVEL

This information is indispensable for the host family.

How and when will you be arriving (date + time) ? :

Airplane

Airline company :

Flight N° :

Train

Departing from :

Train N° :

Car

Hour of arrival :

UNDER 17 STUDENTS

I undersigned gives the authorization to B.F.C.I. to make practise a hospitalization or any other medical act, if necessary by a competent doctorAs a relative let us take we all the responsabilities for them.

Boxes with a star * must be completed

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BFCI - 26 bis Avenue Voltaire 64200 Biarritz - Tél. 00 33 667 939 534 - Mail : contact@biarritz-frenchcourses-institute.com