There are two methods for you to register at the
German Language School Montreal, West Island:
1) Fill out the registration
form below and mail it along with your cheque to:
Inge L. Englert
41 Fir
Baie d'Urfé QC H9X 3M9
2) Register in person at the
Alexander von Humboldt Schule, 216 Victoria, Baie d'Urfé on
Thursday, Sept.
9, 2010 between 7:00
p.m. and 8:00 p.m.
3) First day of classes: Saturday,
Sept. 11, 2010 at 9:00 a.m.
PLEASE PRINT
| Family Name
____________________________
____________________________
____________________________ |
First Name
1. ________________________
2. ________________________
3. ________________________ |
Age _________________
_________________
_________________ |
Citizenship
___________
___________
___________ |
| Mother's Mother
Tongue |
Father's Mother
Tongue |
Language
Used at Home |
|
Address
|
Telephone |
City Postal Code
|
E-mail
Address |
Name of School
Level
Name of School Board
1. ______________________________
_______________
______________________________
2. ______________________________
_______________
______________________________
3. ______________________________
_______________
______________________________
Where did you hear about our school?
_______________________________________________________ |
|
Fees
|
Children |
School Fees |
Registration Fee per
family |
Subtotal |
Secondary Diploma |
Library |
Total |
|
1 |
$350.00 |
$45.00 |
$395.00 |
$20.00 |
$30.00 |
$445.00 |
|
2 |
$510.00 |
$45.00 |
$555.00 |
$20.00 |
$30.00 |
$595.00 |
|
3 |
$660.00 |
$45.00 |
$705.00 |
$20.00 |
$30.00 |
$755.00 |
|
4 |
$800.00 |
$45.00 |
$845.00 |
$20.00 |
$30.00 |
$895.00 |
|
5 |
$930.00 |
$45.00 |
$975.00 |
$20.00 |
$30.00 |
$1025.00 |
|
|
|
|
1 adult (with a child
in our Saturday school): includes registration fee of $45.00 |
$405.00 |
|
1 adult (without a
child in our Saturday school): includes registration fee of $45.00 |
$520.00 |
|
|
|
|
A donation to our library is much
appreciated
------------> |
|
|
|
|
|
Duration of Course: 30
Saturdays | 9:00 a.m. to noon |
|
Signature:
_____________________________________________
|
|
PLEASE NOTE
Course fees are refundable during the first three weeks after registration.
( ) Receipt requested.
Signature: ___________________________________________
Date: _________________________
Call or email us for further information:
German Language School
514-457-3782
inge.englert@sympatico.ca
Vous avez deux moyens pour vous inscrire dans nos cours allemands.
1) Envoyez la formulaire d'inscription remplis
avec votre cheque à:
Inge L. Englert
41 Fir
Baie d'Urfé QC H9X 3M9
2) Venez-vous inscrire en personne à l'école
Alexander von Humboldt, 216, rue Victoria
le 9 septembre 2010 entre 19h et
20h.
3) Premier jour de classes: le samedi 11 septembre
2010 à 9h.
Lettres moulées s.v.p.
| Nom de famille:
____________________________
____________________________
|
Prénom:
1. _______________________
2. _______________________
3. _______________________ |
Âge
______________
______________
______________ |
Nationalité(s)
________________
________________
________________ |
Langue
maternelle de la mère:
|
Langue
maternelle du père: |
Langue
d'usage: |
|
Adresse:
|
Téléphone: |
Ville:
Code postal:
|
Courriel: |
| Nom de l'école: |
Niveau: |
Nom de la commission scolaire: |
| 1. ____________________________ |
___________ |
_____________________________________ |
| 2. ____________________________ |
___________ |
_____________________________________ |
| 3. ____________________________ |
___________ |
_____________________________________ |
Où avez-vous obtenu des renseignements de notre école?
________________________________________ |
|
|
Frais
|
Enfants |
Frais de scolarité |
Frais d’inscription par
famille |
Sous-total |
Sec. Diplôme |
Biblio |
Total |
|
1 |
$350.00 |
$45.00 |
$395.00 |
$20.00 |
$30.00 |
$445.00 |
|
2 |
$510.00 |
$45.00 |
$555.00 |
$20.00 |
$30.00 |
$595.00 |
|
3 |
$660.00 |
$45.00 |
$705.00 |
$20.00 |
$30.00 |
$755.00 |
|
4 |
$800.00 |
$45.00 |
$845.00 |
$20.00 |
$30.00 |
$895.00 |
|
5 |
$930.00 |
$45.00 |
$975.00 |
$20.00 |
$30.00 |
$1025.00 |
|
|
|
|
1 adult (ayant un
enfant à notre école du samedi): frais d’inscription de 45$ inclus |
$405.00 |
|
1 adult (sans enfant à
notre école du samedi): frais d’inscription de 45$ inclus |
$520.00 |
|
|
|
|
Un don pour notre bibliothèque
sera trés apprecié
----------> |
|
|
|
|
|
Durée des cours: 30
samedis, de 9h à 12h |
|
Signature:
_____________________________________ Date:
______________________
|
|
Attention S.V.P.
Les frais de cours ne sont remboursables que durant les trois premières
semaines de cours.
( ) Reçu demandé
Signature: ________________________________________
Date: ________________________
Veuillez-nous contacter:
Ecole de langue allemande
514-457-3782
inge.englert@sympatico.ca
| 
