Information: Online enrolment

By filling out the form below, you are definitively enrolling for a language course. We will be happy to provide you with any additional information you require.

Personal information
* Title
* Surname
* First name
* Date of birth
* Place of birth
* Nationality
* Mother tongue
* Language level
Profession
* Address
* Postcode
* City/town
* Country
* Private tel.
Work tel.
Mobile
Fax
* E-mail address
If student, school attended
Contact person during your stay
* Surname
* First name
* Private tel.
Selection of course(s)
* 1) Town/city
* Course type
* Start date
* End date
* Number of weeks
2) Town/city (to be filled in only if 2 destinations)
Name of the school
Course type
Start date
End date
Number of weeks
Selection of accommodation(s)
* 1) Type of accommodation
Bedroom
Board
* Start date
* Departure date
2) Type of accommodation (to be filled in only if 2 destinations)
Bedroom
Board
Start date
Departure date
Wishes concerning the host family
Non-smoking family
Family with children
Family with students
Family with pets
Miscellaneous
I am a vegetarian
I am a smoker
Special diet
Allergies/Medical treatment
Leisure, interests
Other wishes
Flight / airport transfer
* I wish to receive an offer for the flight
* I wish to have an airport transfer
Insurances
* I wish to receive a cancellation-assistance insurance - 3 months (EUR 45.-)
* Extension of the assistance insurance: (CHF 10.50/EUR 6.30 per month)
* I wish to have an annual cancellation-assistance insurance valid from the enrolment date (under 26 years CHF 77.- / EUR 46.-) (From 26 years CHF 105.- / EUR 63.-)
* I wish to have free exam cancellation protection (please send us proof of enrolment for an exam)
Confirmation & sending
Promotional code
* How did you find out about Flamingo Languages?
Please specify
* I completely agree with the general terms and conditons of Flamingo Languages.
 
* Compulsory fields