Adult Italian Classes, Fall 2024 Form

Adults' Italian Language Classes

Student Information

Number of Students *OneTwoThreeFour

Student 1

Student 1: First Name *

Student 1: Last Name *

Email Address *

Phone Number *

Street Address *

Apartment, suite, etc

City *

State/Province *

ZIP / Postal Code *

Student 1: Class Level *

Student 1: Years in Italian *

Student 1: Message0 / 180

Student 2

Student 2: First Name *

Student 2: Last Name *

Student 2: Email Address *

Student 2: Phone Number *

Street Address *

Apartment, suite, etc

City *

State/Province *

ZIP / Postal Code *

Student 2: Class Level *

Student 2: Years in Italian *

Student 2: Notes0 / 180

Student 3

Student 3: First Name *

Student 3: Last Name *

Student 3: Email Address *

Student 3: Phone Number *

Street Address *

Apartment, suite, etc

City *

State/Province *

ZIP / Postal Code *

Student 3: Class Level *

Student 3: Years in Italian *

Student 3: Notes0 / 180

Student 4

Student 4: First Name *

Student 4: Last Name *

Student 4: Email Address *

Student 4: Phone Number *

Street Address *

Apartment, suite, etc

City *

State/Province *

ZIP / Postal Code *

Student 4: Class Level *

Student 4: Years in Italian *

Student 4: Message0 / 180

REFUND POLICY: Refunds for classes are based on specific dates of withdrawal. 1. A full tuition refund of 100% will be given if a student withdraws before the first scheduled class. A partial refund of 80% will be given if a student withdraws between the first and second scheduled classes. NO refunds will be given after the second scheduled class. 2. Textbooks for children’s and adults classes are not sold by Casa Italia and are not returnable or refundable. 3. Any applicable tuition discounts will not be given at the time of registration. They will be applied retroactively once the tuition payment has been received. *

I have read and understand the Cancellation Policy. If you have questions call 708-345-5933.

TOTAL

Payment MethodCredit Card / Debit Card / PayPalCheck by Mail - Casa Italia, 3800 W. Division St., Stone Park, IL 60165

Adults' Italian Language Classes

Student Information

Student 1

Student 2

Student 3

Student 4

How did you find out about our Italian Language Program?