Enrolment Form

Personal Details   

Last name
First name      Gender
Date of birth
Place of birth  Nationality
Address
Telephone Fax 
E- mail
Occupation  Company
Are you a student? Yes  No
If yes, what school or university do you attend?
What are your hobbies or interests?

Course Details

Please choose your language of study  
Have you studied Italian previously?   Yes No
If yes, please specify for how long  
Please choose your  level
State the type of course you would like to take  
N° of weeks     From [dd/mm/yy] To [dd/mm/yy]
Travel Information
Is this your first time in Italy? Yes No
Transport Plane

Train

Pullman

Car

Arrival date Time
Departure date Time
Do you need service transfer? Yes No

Accommodation

Do you require accommodation? Yes No
Choose your preferred type of accommodation 
Homestay (bed & breakfast)

Homestay (Half-Board)

Private apartment

Shared apartment (single room)

Shared apartment (double room)

B&B or Hotel

Masseria Piccinna

Do you smoke? Yes No
Do you have any special needs? ie.Diet, Allergies etc...

       

I give my consent             

* Treatment of Personal data
The following text in Italian explains the terms and conditions under which LIVE LANGUAGE SALENTO use any personal data collected on this site for pre-registration and registration purposes.
to continue please give click on
I give my consent.


 
Special winter with Live Language Salento! (December 2011- March 2012)
Intensive & Cultural Italian

- Italian Course (15 lessons per week) - cultural activities every afternoon – theatre, cinema, coking lesson, seminar on Tarantism, visits at the museums or monuments and local towns-. - 1 all day excursion per week All levels, from Beginner to Advanced, minimum 2 students.

Special offers 2012 Family offer - Discover Salento
• Welcome party • Intensive Italian language course (20 lessons per 1 week – 40 lessons per 2 wks) • 1 cooking lesson (2 cooking lessons per 2 wks) • 1 guided visit to LECCE / OTRANTO (both 2 wks) • 1 orientation tour of Salento area • 1 dinner in Agriturismo or local Masseria and taste session of local wines and products. • Farewell party
 
 
 
 
Centro di lingue Live Language Salento - C.F. 93098900751 Sito realizzato da Pianeta Software - Lecce - Italy - Salento