Student Name *
Age Group* under 1818 - 3030 - 50over 50
State* Zip Code:
Student Phone Number*
Additional Student Phone Number
Student Email *
Emergency Contact Name: *
Emergency Contact Phone *
I want Lessons in:* ItalianEnglish
Please check your level of Italian:* BeginnerIntermediateAdvanced
Reason for Interest (check all that apply):*
Imminent Travel PlansPersonal InterestWorkRelocationOther
Please indicate your availability (check all that apply):*
TERMS & CONDITIONS
As the student or legal guardian of
STUDENT NAME: *
I agree to the following terms and conditions:
The cost of individual private lessons is:
- $60 for a 1-hour session
- $80 for a 1.5-hour session
The cost of semi-private lessons are:
- $50 for a 1-hour session
- $60 for a 1.5-hour session, respectively for each student
Semi-private lessons are conducted by one teacher for 2 students.
If the students that apply for semi-private lessons are FAMILY MEMBERS, please refer to the Semi-Private Family Members page for the registration form and discount information.
A deposit of $250 is required to book private & semi-private lessons which will be applied toward the tuition.
A minimum of 4 lessons should be booked at the time of registration and should fall within 6 weeks from the first scheduled lesson.
After this form is successfully completed, you will automatically be directed to a page to submit a deposit with credit card or using PayPal.
Monthly statements are sent out the first week of each month
Lessons can be rescheduled with 24 hour notice by notifying the teacher directly. If Italian School NJ receives less than 24 hour notice a cancellation fee of $30 will be applied.
If you have taken Italian classes in the past, please describe when and for how long:
If the student is exposed to the Italian language, please describe briefly:
Does the student know any other languages? Please list and describe briefly:
I release Italian School NJ from any and all liability and waive as against Italian School NJ all recourse, loss or damage, including any consequential damage or loss, claims, causes of action of any kind whatsoever arising from my participation in the lessons.
It is hereby understood and agreed that Italian School NJ shall not be responsible for any theft, damage or injuries incurred during lessons or on location premises.
**By entering my name in the box below, I certify that I am at least 21 years old and I agree to the terms and conditions as described herein. *
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