Italian Language and Culture Virtual Summer Camp 2022

Registration Form

Italian Language and Culture - Virtual Summer Camp
Program Dates *

18th July to 22nd July 25th July to 29th July 1st August to 5th August 8th August to 12th August
Program Costs *

1 week = €199 2 weeks = €379 3 weeks = €539 4 weeks = €719
Parent / Guardian Details
Full Name *

First Name Last Name
E-mail *
Phone Number *

Area Code Phone Number
Mobile Number *

Area Code Phone Number
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Relationship to Student *
Student Information
Full Name *

First Name Last Name
Date of Birth *

Day Month Year
Date
Gender *

Male Female
Studying Italian *

Yes No
If "Yes" please provide details and language level e.g. Beginner / Intermediate / Advanced / Native
I would like to receive information about the 2023 Italian Language & Culture Summer Camp *

Yes No
NOTE: After submitting your form you will receive an email providing details of payment options.
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Registration Form