Sign up – Speakeasy language school

To register for one of our courses, please fill out and return the registration form. You will receive a confirmation once we have received your completed form. This registration is binding.

As soon as the course fee has been credited to our account, you will receive a registration confirmation as well as any other necessary documents.

MrMrs
Last name *

First name(s) *

Tel. mobile:

Tel. land-line:

E-mail *

Date of Birth *

Nationality *

Passport number

Address

Street + House No *

City *

Postal Code *

Home address (in case of visa)

House no.

Street

Postal code

City

Country

I hereby register myself for the following language course:

Course Type *

Course level *

Intended Starting Date *

Course length *

Course Fee (EUR) *

Method of Payment *

How did you hear about us?

Comment

The Terms of Service are incorporated into this contract. Signing this contract confirms that the student has read and accepted the Terms of Service. *
I have read and accepted the data security declaration. *

* This field is required.