Semi-Private Family Lessons

For lessons for 2 or more family members

APPLICANT INFORMATION

Family Last Name *

Student #1 First Name *

Age Group #1* under 1818 - 3030 - 50over 50

Student #1 - Level of Italian: * BeginnerIntermediateAdvanced


Student #2 First Name *

Age Group #2* under 1818 - 3030 - 50over 50

Student # 2 - Level of Italian: * BeginnerIntermediateAdvanced


Student #3 First Name

Age Group #3under 1818 - 3030 - 50over 50

Student #3 - Level of Italian: BeginnerIntermediateAdvanced


Student #4 First Name

Age Group #4 under 1818 - 3030 - 50over 50

Student #4 - Level of Italian: BeginnerIntermediateAdvanced


Family Address

Town*

State* Zip Code:

Main Contact Phone Number *

Additional Phone Number

Main Contact Email *

Emergency Contact Name: *

Emergency Contact Phone Number *

We want Lessons in:*

Reason for Interest (check all that apply):*
Imminent Travel PlansPersonal InterestWorkRelocationOther

Please indicate your availability (check all that apply):*
MorningAfternoonEveningMondayTuesdayWednesdayThursdayFridayWeekendsFlexible

TERMS & CONDITIONS

As the Student or Legal Guardian of *

I agree to the following terms and conditions.

TUITION

Semi-private family lessons can be done by 1 teacher with 2, 3 or 4 students, members of the same family. It will be up to the teacher’s discretion to determine whether family members are compatible to attend lessons all together or divide them in groups.

The cost of semi-private family lessons with 2 students and one teacher is as follows:

  • $90 for both students for 1-hour long lesson
  • $105 for both students for 1.5-hour long lesson

The cost of semi-private family lesson done by 3 or 4 members of the same family with one teacher all at the same time, is as follows:

  • $110 for all students for 1-hour long lesson
  • $125 for all students for 1.5-hour long lesson

A deposit of $360 is required to book semi-private family lessons which will be applied toward the tuition.
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.

A minimum of 4 lessons should be booked at the time of the registration and should fall within 6 weeks from the first scheduled lesson.

Lessons can be rescheduled with 24-hour notice. Students should notify the teacher directly. If Italian School NJ receives less than 24-hour notice a cancellation fee of $30 will be applied.

QUESTIONNAIRE

This optional questionnaire helps us match you with the appropriate instructor. If you are a returning student, you may scroll to the bottom of the form to accept the terms and conditions, enter the anti-spam code and click "send".

New students should fill out as much of the questionnaire that applies. Thank you!

Student #1

Are you familiar with the Italian language? YesNo

If "yes" please why: (check all that apply)
Taken course(s)Self- StudyFamiliarity by family membersOther

Comments:

If you have taken Italian classes in the past, please describe when and for how long:

Does the student know any other languages? Please list and describe briefly:

Student #2

Are you familiar with the Italian language? YesNo

If "yes" please why: (check all that apply)
Taken course(s)Self- StudyFamiliarity by family membersOther

Comments:

If you have taken Italian classes in the past, please describe when and for how long:

Does the student know any other languages? Please list and describe briefly:

Student #3

Are you familiar with the Italian language? YesNo

If "yes" please why: (check all that apply)
Taken course(s)Self- StudyFamiliarity by family membersOther

Comments:

If you have taken Italian classes in the past, please describe when and for how long:

Does the student know any other languages? Please list and describe briefly:

Student #4

Are you familiar with the Italian language? YesNo

If "yes" please why: (check all that apply)
Taken course(s)Self- StudyFamiliarity by other family membersOther

Comments:

If you have taken Italian classes in the past, please describe when and for how long:

Does the student know any other languages? Please list and describe briefly:

How did you hear about us?
InternetAdvertisingFrom A Friend

If from a friend, who can we thank?

WAIVER

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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