Scuola di Lingua e Cultura Italiana Registration Form
P.O. Box G, South San Francisco, CA 94083-1507

[Please print and complete this form and send it to La Scuola with your payment]
 Go to: Home Page    Go to: Language Classes    Go to: Assess Your Level

Name: _______________________________________________________________

Address:  ___________________________________________________________

City:  ______________________________________________________________

State: _____   Zipcode: __________ Phone: ___________________________

Email: ________________________________ [Please enter your email address for occasional updates about the school and cultural events. We will not give your email address to a third party.]

SEMESTER
 TUITION*
(13 weeks)
$180.00 for the first household member registrant.
$160.00 for each additional household member registrant.

Class Codes:
[Adults may change their choice of class level at any time.]
Y-1 = Youth (ages 6-12)** B-1 = Beginning 1
B-2 = Beginning 2 I-1 = Intermediate 1
I-2 = Intermediate 2 I-C = Intermediate Conversation
A-C = Advanced Conversation A-L = Advanced Literature
 NAME OF HOUSEHOLD MEMBER
 CLASS
 TUITION 
1st: ____________________________________
 _____ _______
2nd: ____________________________________
 _____ _______
3rd: ____________________________________
 _____ _______
4th: ____________________________________
 _____ _______
5th: ____________________________________
 _____ _______
(At the start of instruction, classes typically require a materials fee of $12-$25 or purchase of a text supplied by the school.)
Subtotal:
_______

*EARLY REGISTRATION DISCOUNT [Subtract $15 per person if payment is postmarked by early registration cutoff date.]
       Fall 2012 early registration cutoff date: August 30
       Spring 2013 early registration cutoff date: January 04
** Parents of youth registrants are required to read and accept the
     guidelines for youth classes.


(Discount):


_______

TOTAL:
_______
La Scuola reserves the right to cancel any class for insufficient enrollment and refund the tuition. Please review our refund policy before submitting payment to the address below.
Scuola di Lingua e Cultura Italiana   www.italianclasses.com
P.O. Box G, South San Francisco, CA 94083-1507 — phone: (650) 574-3089
Copyright © 2012 Scuola di Lingua e Cultura Italiana.   All rights reserved.