Adult Italian School - Course Registration

Name:                                                                                       Date:

Address:

Phone: (W)                                                  (H)

e-mail:

Course (name and number):                                                          Term:

Amount Enclosed:

What is your ability level in Italian?

What do you expect to gain from this course? Do you know or speak other languages?

How did you hear about the school?

 
Please print out this form, fill it out and send it with a check made payable to:

Dante Alighieri Society of Massachusetts
Adult Classes Registration
41 Hampshire St.
Cambridge, MA 02139