Booking form Veuillez activer JavaScript dans votre navigateur pour remplir ce formulaire.1234Student Name *PrénomNomParent or Tutor name *PrénomNomVotre adresse email *E-mailConfirmez l’e-mailStudent date of Birth *JJ12345678910111213141516171819202122232425262728293031MM123456789101112AAAA20232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Pays *Please, select from the drop-down listAfghanistanAlbaniaAlgeriaAmericaAndorraAngolaAntiguaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBissauBoliviaBosniaBotswanaBrazilBritishBruneiBulgariaBurkinaBurmaBurundiCambodiaCameroonCanadaCape VerdeCentral African RepublicChadChileChinaColombiaComorosCongoCosta RicaCroatiaCubaCyprusCzechDenmarkDjiboutiDominicaEast TimorEcuadorEgyptEl SalvadorEmirateEnglandEritreaEstoniaEthiopiaFijiFinlandFranceGabonGambiaGeorgiaAllemagneGhanaGreat BritainGreeceGrenadaGrenadinesGuatemalaGuineaGuyanaHaitiHerzegovinaHollandHondurasHonk KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyIvory CoastJamaicaJapanJordanKazakhstanKenyaKiribatiKoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshallMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayOmanPakistanPalauPanamaPapuaParaguayPeruPhilippinesPolandPortugalQatarRomaniaRussiaRwandaSamoaSan MarinoSao TomeSaudi ArabiaScotlandScottishSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomonSomaliaSouth AfricaSouth SudanSpainSri LankaSt KittsSt LuciaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTobagoTogoTongaTrinidadTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited KingdomUnited StatesUruguayUSAUzbekistanVanuatuVaticanVenezuelaVietnamWalesWelshYemenZambiaZimbabweNextWhat day would you like to start your course? *You can start Monday from July 1st to August 16th, 2024Number of weeks *Please select1 week2 weeks3 weeks4 weeks5 weeks6 weeks7 weeksDid you book UM service? *NoYes - € 50Are the student aged 15 or under? *NoYes - € 30This is obligatory for all students aged 15 or less on the date of departure.Do you want to book a single room? *NoYes - € 40 per week€ 40 per weekDo you want to book a single room? *NoYes - € 40 per week€ 40 per weekDo you want to book a single room? *NoYes - € 40 per week€ 40 per weekDo you want to book a single room? *NoYes - € 40 per week€ 40 per weekDo you want to book a single room? *NoYes - € 40 per week€40 per weekDo you want to book a single room? *NoYes - € 40 per week€ 40 per weekDo you want to book a single room? *NoYes - € 40 per week€ 40 per weekDo you require special diet? *NoYes - € 30 per week€ 30 per weekDo you require special diet? *NoYes - € 30 per week€ 30 per weekDo you require special diet? *NoYes - € 30 per week€ 30 per weekDo you require special diet? *NoYes - € 30 per week€ 30 per weekDo you require special diet? *NoYes - € 30 per week€ 30 per weekDo you require special diet? *NoYes - € 30 per week€ 30 per weekDo you require special diet? *NoYes - € 30 per week€ 30 per weekTotal0,00 €PreviousNextMise à jour de l’aperçu…This is a preview of your submission. It has not been submitted yet! Please take a moment to verify your information. You can also go back to make changes.PreviousNextYou're about to pay:0,00 €Payment options *Bank transferStripeFee for the selected payment method:Prix : 50,00 €Stripe *CarteNom sur la carteBank charges may apply and must be paid by the student.PreviousMessagePay
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