REGISTRATION

Name*

First name Last name

Sex and gender*

Female
Man

Address*

Postcode*

Postal location*

Private/mobile phone*

Telephone work

Date of birth*

Position

Nationality*

Email*

CONTACT PERSON IN NORWAY DURING THE COURSE PERIOD

Name

Address

Private/mobile phone

Telephone work

COURSE

Course location*

From*

To*

Teaching options

(course type, number of hours per week etc)

Accommodation

Pick-up at the airport

(Please contact us for pricing. Please state the name of the airport)

Meals

(Please contact us for price. Breakfast, half board or full board)

Course price

HAVE YOU BEEN TAUGHT THIS LANGUAGE BEFORE?

yes
no

If yes: When, what kind and for approximately how long?

HOW DO YOU PLAN TO TRAVEL?

DO YOU SMOKE?

yes
no

DO YOU HAVE AN ALLERGY, CHRONIC ILLNESS, DISABILITY, ETC. THAT THE COURSE ORGANISER SHOULD KNOW ABOUT?

yes
no

If yes, please specify

WHERE DID YOU HEAR ABOUT THE LANGUAGE TRAVEL AGENCY?

Acquaintances
Searched online
From another website
Advertisement in newspaper/magazine
Telephone directory/yellow pages
Exhibition centre
Travelled with Leo Languages before
School/University
Other

Specify

ADDITIONAL INFORMATION / REQUESTS

DO YOU WANT CANCELLATION INSURANCE (NOK 250)?

yes
no

ARE YOU PLANNING TO APPLY FOR A LOAN/GRANT FROM LÅNEKASSEN?

yes
no

A DEPOSIT OF NOK 1,500 PLUS CANCELLATION INSURANCE (IF APPLICABLE) OF NOK 250 HAS BEEN PAID INTO BANK ACCOUNT: 9590.31.40403

REGISTRATION AND CANCELLATION INFORMATION

Terms and Conditions*

I have read and accept Leo Languagess terms and conditions

Comments

This field is for validation purposes and should be left unchanged.

CONTACT PERSON IN NORWAY DURING THE COURSE PERIOD

COURSE

HAVE YOU BEEN TAUGHT THIS LANGUAGE BEFORE?

WHERE DID YOU HEAR ABOUT THE LANGUAGE TRAVEL AGENCY?

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