Enrolment

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For your enrolment on a course at Culturforum, please:

Title

Name

Last name

Date of birth

Profession

Nationality

Mother tongue

Address

City

Mobile number

Zip code

Country

Phone number

E-mail

Repeat E-mail

*The E-mail repeat field must match the E-mail field

Knowledge of Italian language

Other languages spoken

Have you attended a course at Culturforum previously?

Yes

How did you find out about our school?

Do you wish to attend an Italian language course?

Do you wish to attend a course for professionals?

Would you like to take a Culture course?

Would you like to take private lessons?

Do you need accommodation?

Do you want us to arrange a transfer on your arrival?

Do you want us to arrange a transfer on your departure?

Name of the person to contact in case of emergency

Phone number

E-mail