Language Course Form

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*

Untitled

Spanish levels

Arabic

French levels

Italian levels

Japanese levels

Portuguese levels

German levels

Dutch level

Polish 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 my course. For example, dates, changes, cancellations, activities related to the course, next term information, course feedback, classroom information and payment.
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 authorise Live Language to contact me. I understand that this means I may not be informed of class cancellations, etc.

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 (http://live-language.com/payment-page/)
Cash Payment at Reception (by the application deadline)

Additional information

Where did you hear about Live Language

Terms & Conditions

The school requires minimum 5 students to start a Foreign Language class. Live Language reserves the right to cancel any course which does not meet the minimum number of students. However, if a class does not have 5 participants, students will be given the following options to enable them to continue studying: 5 students: full 24 hours (12 weeks X 2 hours) 4 students: 20 hours (10 weeks X 2 hours) 2-3 students: A semi-private option will be offered

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