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Private Lessons Inquiry Form

Please complete the form below. The items marked * are mandatory.
Personal Information:
Title *  
First Name* Last Name*
Birth Date
(Mandatory for Kids only)
(mm/dd/yyyy) Age Range (Adults)
Home phone* Cell phone
Work Situation    
Office phone Company Name
(If responsible for payment)
E-Mail* Fax
Address*
Street:        Apt.#   
City:           State:            Zip:   
Lesson Requirements:
Have you taken a class with us before? Yes No
Location of Class: At Our Location Yes
  At Your Location:
(Please specify address, intersection and subway)
Number of Hours per week:
Frequency of Classes:
Starting Date:
Availability (days & times):
Level of French: (101, 102 ... )
  (If not a Beginner Level Student, please take the Placement Test first)
Reason for studying French:
Where did you hear about us? New York Times
Time Out NY
FIAF Events Calendar
FIAF Language Center Brochure
Word of Mouth
Web Search
Training Objectives:
Comments:
Feel free to use the box below if you have any comment /suggestion regarding your registration on this form.

  

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