REGISTRATION Student's Information (One registration form per person, please)
Name:
Nationality:
Native Language:
Date of Birth:
Address
City:
Province
Postal Code
Country
Email:
Level of Spoken English:	Select One Beginner Intermediate Advanced
Level of Written English:	Select One Beginner Intermediate Advanced
Level of Reading English:	Select One Beginner Intermediate Advanced
Level of Listening English:	Select One Beginner Intermediate Advanced
Coures of Interest (Please check all applicable selections)
Summer ESL Vacation
Group English Lessons - 20 hours each week (Rates)
Private English Lessons - Minimum 5 hours each week (Rates)
Homestay required
Other Information
Arrival Date
Departure Date
Airport Pick Up Needed	(CDN$75 each way)
Name of Travel Companion (if any)
Student's Favourite Sport/Hobbies:
Your Comments / Special Instructions:

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