REGISTRATION FORM

Please, fill in the registration form below.
There is a form for New Registrants and another one for Old Students.
After submitting the form you will receive confirmation of registration.
We will contact you by phone or via e-mail in order to proceed with payment.
By submitting this registration form, you agree to our terms and conditions.

TERMS AND CONDITIONS

NEW REGISTRANTS FORM

Registration Form

Name

First Name

Last Name

Email Address

Home/ office Phone

(###)

###

####

Cell phone

(###)

###

####

I would like to register for:

Please, indicate the course start date (if already posted in the website)

Please, indicate - if possible - one or two more optional schedule preferences in case your first choice is not available

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

I would like to pay by:

- E-mail transfer

- Cheque

- Cash

Payment deadline

Payment must be received in advance of the class start date

PLEASE, READ CAREFULLY THE TERMS AND CONDITIONS BEFORE SUBMITTING THE FORM

I have read and accept the terms and conditions

I found out about Stefania Borrelli classes through:

Questions, requests, etc

RETURNING STUDENTS FORM

Old students Form

Name

First Name

Last Name

Email Address

Please, indicate the type of course you would like to register

Please, indicate - if possible - one or 2 more optional timetables in case your first choice is not available

Message

I would like to pay

- E-mail transfer

- Cheque

- Cash

PLEASE READ CAREFULLY THE TERMS AND CONDITIONS BEFORE SUBMITTING THE FORM, SINCE THEY MAY BE UPDATED OR MODIFIED SINCE YOUR LAST COURSE REGISTRATION

I have read and accept the Terms and Conditions

Payment deadline

Payment must be received in advance of the class start date