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Private Student Enrolment
Private Student Enrolment
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Name
*
First
Last
Date of Birth
*
Which Language are you Interested in?
English (ESL)
French
Spanish
Portuguese
German
Italian
What Level are you at?
Complete Beginner
Intermediate
A1-A2
B1-B2
C1-C2
Not sure
In-person or Online Classes?
*
In-Person*
Online
*In-person subject to being in the Teesside area
What Type of Class?
*
Beginner
Intermediate
Conversational
*In-person subject to being in the Teesside area
What Days are Best for you?
*
Monday
Tuesday
Wednesday
Thursday
Friday
What Times are Best for you?
*
Morning 8am-12pm
Afternoon 12pm-5pm
Evening 5pm-9pm
Email
*
Contact Number
*
Postcode
*
*This is to determine whether in-person facilities are available to you
Permission & Agreement
*
I agree and give my permission
I hereby give permission for Miss Harmonie to contact me via the details above. Your details will not be shared with anybody but Miss Harmonie may send me emails about upcoming classes and money saving deals.
Submit