Language Course Form - Live Language

Your details

Name*

First Last

Date of birth*

Phone number

Email*

Emergency Phone number*

Special requirements (eg. diabetes, dyslexia, mobility issues, etc.):

Your course

Your language*

Spanish levels

Arabic

Italian levels

Japanese levels

Portuguese levels

German levels

Dutch level

Polish levels

Korean levels

Norewegian levels

Mandarin Chinese levels

If you'd like to book privates, how many hours per week?

Have you studied the language before?

Yes
No

If yes, for how long?

Privacy

Privacy consent*

I authorise Live Language to contact me about events, language exchange, social program and special offers in addition to general information about my course.
I do not want to be contacted by Live Language.

You can notify us if you change your mind regarding your previous privacy settings at the school at any time. Live Language may contact you after you have finished studying at the school if you have any outstanding payments.

Payment

Payment options

Bank Transfer (£20 fee if your bank account is overseas)
Credit or debit card over the telephone (0141 221 0793)
Credit or debit card at our secure online payment page (https://live-language.com/payment-page/)
Cash Payment at Reception (by the application deadline)

Additional information

Where did you hear about Live Language

Website
Recommendation
Google
Social Media
Advertising
Poster / flyer

Terms & Conditions

• Please note, the school requires minimum 5 students to start a class, so some courses or classes may be subject to cancellation. If a group has only 4 students for the entire term, they will be given the option to continue studying for 20 hours (10 weeks X 2 hours) instead of the original 24.

Please write your name here to show that you have read and understood our Terms & Conditions*