Scuola di Lingua e Cultura Italiana Registration Form
P.O. Box G, South San Francisco, CA 94083-1507

[Please print and complete this form and send it to La Scuola with your payment]
 Go to: Home Page    Go to: Language Classes    Go to: Assess Your Level

Name: _______________________________________________________________

Address:  ___________________________________________________________

City:  ______________________________________________________________

State: _____   Zipcode: __________ Phone: ___________________________

Email: ________________________________ [Please enter your email address for occasional updates about the school and cultural events. We will not give your email address to a third party.]

SEMESTER
 TUITION*
(13 weeks)
$160.00 for the first household member registrant.
$140.00 for each additional household member registrant.

Class Codes:
[Adults may change their choice of class level at any time.]
Y-1 = Youth (ages 6-8)** Y-2 = Youth (ages 9-12)**
B-1 = Beginning 1 B-2 = Beginning 2
I-1 = Intermediate 1 I-2 = Intermediate 2
A-C = Advanced Convers. A-L = Advanced Literature
 NAME OF HOUSEHOLD MEMBER
 CLASS
 TUITION 
1st: ____________________________________
 _____ _______
2nd: ____________________________________
 _____ _______
3rd: ____________________________________
 _____ _______
4th: ____________________________________
 _____ _______
5th: ____________________________________
 _____ _______
(Beginning & Intermediate classes require the text Studio Italiano. Advanced classes may require a $12 - $22 materials fee.)
Subtotal:
_______
*EARLY REGISTRATION DISCOUNT [Subtract $15 per person if payment is postmarked by early registration cutoff date.]
       Fall 2010 early registration cutoff date: September 04
       Spring 2011 early registration cutoff date: January 08
** At the first day of class, parents of youth registrants are required to sign an age and responsibility form.


(Discount):


_______

TOTAL:
_______
Please review our refund policy before submitting payment to the address below.
Scuola di Lingua e Cultura Italiana   www.italianclasses.com
P.O. Box G, South San Francisco, CA 94083-1507 — phone: (650) 574-3089
Copyright © 2010 Scuola di Lingua e Cultura Italiana.   All rights reserved.