MAIN
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OUR SCHOOL
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PROGRAMS
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HOMESTAY
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ACTIVITIES
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FEES
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REGISTER
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TESTIMONIALS
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CONTACT
Please note: fields marked (*) are mandatory
1. PERSONAL INFORMATION
* Family Name:
* First Name:
* Street Address:
* City:
Province:
Country:
* Zip/Post Code:
* Phone Number:
Fax:
* Email:
Birthday:
Sex:
Male
Female
Native language:
Interests:
2. PROGRAM CHOICE
Agent Name (if applicable):
Course Start (DD/MM/YYYY):
Course Duration:
Program Choice:
English Fundamentals
Intensive English
Deluxe English
Would you like private tutoring?
Yes
No
How Many Hours?:
Approximate level of English:
3. LIVING ARRANGEMENTS
Accommodation Required?
Yes
No
If no, Who will be your Contact Person in Canada?
Contact name:
Contact phone#:
4. HOMESTAY
Accommodation Start Date:
Accommodation End Date:
Please State Any Dietary Needs:
Can you live with children?
Yes
No
Do you smoke?
Yes
No
Can you live with pets?
Yes
No
Other Homestay Requirements?:
5. TRAVEL INFORMATION
Arrival Date:
Airline and Flight# (if available):
Arrival time:
Do you want someone from GTLS to Meet You?
Yes
No
Do you require insurance coverage?
Yes
No
Comments:
Greater Toronto Language School - Where English Comes Alive