APPLICATION FORM. Please fill in the white spaces
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1 APPLICATION FORM Please fill in the white spaces Mr. / Ms./ Mrs. (NAME) (SURNAME) M F (GENDER) (DATE OF BIRTH) (PLACE OF BIRTH: Country and City) (NATIONALITY) (NATIVE LANGUAGE) (PROFESSION) (ADDRESS, CITY, POSTAL CODE AND COUNTRY) (PHONE NUMBER) ( ) (How did you first hear about L'Olivo Italiano?) - I agree to receive via more information about L Olivo Italiano: YES NO -In which language do you prefer to receive correspondence? ENGLISH ITALIANO DEUTSCH ESPANOL FRANCAIS - I agree to allow L Olivo Italiano to take photographs of myself and grant permission for these to be used in publications, promotional material, websites and social network, exclusively for non- profit making purposes: YES NO
2 ITALIAN LANGUAGE AND CULTURE COURSES I wish to enroll for the following course: STANDARD COURSES Complete Course Intensive Course 90 Intensive Course 60 Intensive Course MAXI SHORT TERM COURSES & INDIVIDUALS TUITIONS 90 minutes 60 minutes via Skype Survival Pills mini course Italian Pills SPECIALIZED ITALIAN LANGUAGE COURSES Medicine Law Commerce EVENING COURSE FOR RESIDENTS 4 weeks 8 weeks 12 weeks DATES OF THE COURSE FROM (DAY) (MONTH) (YEAR) TO (DAY) (MONTH) (YEAR)
3 PACKAGES & ACCOMMODATION In addition to the Italian language and culture, I wish to enroll for the following packages of activities: PACKAGES OF ACTIVITIES Dolce Vita De Gustigus Discovering Tuscany Shots of Italy Naturalmente In addition to the course, I m booking the following accommodation: ACCOMMODATION Hostel (Ostello del Bigallo) Homestay Agriturismo Shared apartment Independent apartment Hotel I wish to book a transfer service: Yes* TRANSFER SERVICE No, thanks * If you answer Yes, please let us know the details of your travel by (info@lolivoitaliano.it) at least 1 week prior to your arrival specifying your mean of transportation, n of flight or train, date and time and all relevant information. Thank you. L Olivo Italiano hereby notifies the course participant that he is responsible for any damage of whatever nature that he causes. I hereby recognize as binding the Terms and Conditions of Enrollment provided to me. Date Signature Please, mail your completed Application Form with payment receipt to: info@lolivoitaliano.it
4 BEFORE ENROLLING PLEASE, READ ATTENTIVELY THE GENERAL CONDITIONS OF PARTECIPATION General Conditions of Participation 1. Effecting the contract: Please send the application form with the signed General Conditions of Participation by or by post to the school. Application must be received by the school at least 3 days before the starting dates of courses. The confirmation will be sent to you by Payments and documents: The following is required for enrolment: - fill out the attached enrollment form, read attentively and sign the General Conditions of Participation; - enclose the receipt for the payment - To confirm your reservation we request a 30% deposit of the total amount. The enrollment fee is 50. It is not refundable and has to be paid upon submitting the application form. Upon arrival you will pay the remaining amount. In case of cancellation or no-show the deposit is not refundable. You can pay by bank transfer. Any additional bank charge should be paid by the student. As soon as we receive the payment we will be able to send you a confirmation (by ) for the course. 3. Services: The contractual services provided appear in on our web-site and in the price list. Collateral agreements must be confirmed in writing. 4. Cancellations: Cancellations must be sent to the school centre by registered letter, telegram, or . If a cancellation is made before 30 days prior to the beginning of the course, 30% of the total amount will be retained. If a cancellation is made less than 30 days before the beginning of the course or after the course has been started (even the first day), the full course fees are forfeited, i.e. no refunds will be possible. It can be used for future enrollments within one year. Courses begin only on the published dates. There can be no refund for students who begin a course late or leave before completion of the course or miss lessons. The missed lessons cannot be recovered. 5. Lessons: Lessons are held from Monday to Friday and are not held (not refunded and not recovered) on national and local public holidays. Should a student be unable to attend a course, he or she cannot transfer the payment both for the course and accommodation to another student. 6. Accommodation: In case of cancellation the sum paid for the reservation is not refundable. The school is only a linguistic intermediary between students and landlords and cannot be directly responsible for the relations between them. However, you will be assisted by a member of our staff in case of problems. Please inform the school (by phone or ), at least four days before your arrival, of your estimated time of arrival. If you arrive a day earlier, or if you want to stay a day longer, get in touch with the school. The rest of the accommodation fee must be paid at your arrival or at the first day of school. Students must pay for the reserved period on the enrollment form or even if they arrive 1 or more days after. The amount paid for accommodation is not refundable in case of cancellation or in case you leave the house before the reserved period.
5 7. Transfer: We also provide a personal transfer service from the airport or train station of Florence to your accommodation. If you would like the school to arrange a transfer, please send us your arrival information (date and time of arrival and flight or train number) with the enrolment form. Please, confirm your arrival at least one day before by calling the school or ing. Contact the school in case of delays. 8. Insurance: Participants are not insured against illness, accidents, theft or loss of personal possessions, either by the schools or by those offering the accommodation. 9. Visa: U.S.A. and European citizens do not require a visa to enter Italy. Citizens of other countries should contact their nearest Italian Embassy or Consulate to check the details regarding entry permits. Our Certificate of enrolment fulfills one of the requirements to obtain a visa. 10. Personal data: The participant authorizes L'Olivo Italiano to include her/his personal data on a mailing list. The participant may also periodically receive informative, publicity or promotional material. 11. Expulsion: the school reserves the right to dismiss any student whose conduct is unsatisfactory at the discretion of the person in charge. 12. Acceptance: By signing or by sending the registration form or any other written form of registration, the participant understands and accepts the "General Conditions of Participation".
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