Lycée Rodolphe Töpffer - Summer classes online registration

Personal Data

Name*

Please type your full name.

Birthdate :*

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Mother tongue*

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Mobile phone of the pupil

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Family name*

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Gender*

GirlBoy

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Nationality*

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Legal Respondent

Name*

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Legal respondent's phone number*

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Legal respondent's e-mail*

Invalid email address.

Family name*

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Mobile or professional phone number

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Legal respondent 2

Name

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Mobile prone of legal respondent 2

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E-mail

Invalid email address.

Family name

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Mobile or professional phone number

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Home address

Please advice mother or father

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Street*

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Town / City / State*

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Country

Zip code*

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Private phone*

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Please indicate the name of accident insurance*

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School and class until june *

School*

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Indicate as well the swiss canton or the country if outside of Switzerland

Class*

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School and class for next year

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Indicate as well the swiss canton or the country if outside of Switzerland

Class*

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Choose a summer plan

Applies for*

Day school (9am to 12pm)

Courses, lunch, supervised homework (9am to 2pm)

Courses, lunch, supervised homework and activities (9am to 6pm)

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Dates*

From monday 10 to friday 14 of july 2023 (= 1 week)

From monday 17 to friday 21 of july 2023 (= 1 week)

From monday 10 to friday 21 of july 2023 (= 2 weeks)

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For three hours of classes in the morning, please choose one subject per class (you can choose the same subject for 2 or 3 classes):

Has been studying english since*

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English level*

Veuillez sélectioner le niveau d'allemand

Has been studying german since*

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German level*

Veuillez sélectioner le niveau d'allemand

Has been studying italian since

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Italian level*

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Has been studying spanish since*

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Spanish level*

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French for non french-speaking level

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Please tell us if your child knows :

How to swim

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Remarks, wishes or particular comments

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By filling and sending this form, I certify that I have read and approved the financial conditions, the summer classes rules as well as the privacy policy of Lycée Töpffer

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The fields marked with a * are mandatory

Summer course online registration july 2023

Personal Data

Legal Respondent

Legal respondent 2

Home address

Choose a summer plan

Please tell us if your child knows :