Lycée Rodolphe Töpffer - Summer classes online registration

Personal Data

Name*

Please type your full name.

Birthdate :*

/ / Entrée non valide

Mother tongue*

Entrée non valide

Mobile phone of the pupil

Entrée non valide

Family name*

Entrée non valide

Gender*

GirlBoy

Entrée non valide

Nationality*

Entrée non valide

Legal Respondent

Name*

Entrée non valide

Legal respondent's phone number*

Entrée non valide

Legal respondent's e-mail*

Invalid email address.

Family name*

Entrée non valide

Mobile or professional phone number

Entrée non valide

Legal respondent 2

Name

Entrée non valide

Mobile prone of legal respondent 2

Entrée non valide

E-mail

Invalid email address.

Family name

Entrée non valide

Mobile or professional phone number

Entrée non valide

Home address

Please advice mother or father

Entrée non valide

Street*

Entrée non valide

Town / City / State*

Entrée non valide

Country

Zip code*

Entrée non valide

Private phone*

Entrée non valide

Please indicate the name of accident insurance*

Entrée non valide

School and class until june *

School*

Entrée non valide

Indicate as well the swiss canton or the country if outside of Switzerland

Class*

Entrée non valide

School and class for next year

Entrée non valide

Indicate as well the swiss canton or the country if outside of Switzerland

Class*

Entrée non valide

Choose a summer plan

Applies for*

Day school (9am to 12pm)

Courses, lunch, supervised homework (9am to 2pm)

Courses, lunch, supervised homework and activities (9am to 6pm)

Entrée non valide

Dates*

From monday 11 to friday 22 of july 2022 (= 2 weeks)

From monday 11 to friday 15 of july 2022 (= 1 week)

From monday 18 to friday 22 of july 2022 (= 1 week)

Entrée non valide

For three hours of classes in the morning, please choose one subject per class (you can choose the same subject for 2 or 3 classes):

Has been studying english since*

Entrée non valide

English level*

Veuillez sélectioner le niveau d'allemand

Has been studying german since*

Entrée non valide

German level*

Veuillez sélectioner le niveau d'allemand

Has been studying italian since

Entrée non valide

Italian level*

Entrée non valide

Has been studying spanish since*

Entrée non valide

Spanish level*

Entrée non valide

French for non french-speaking level

Entrée non valide

Please tell us if your child knows :

How to swim

YesNo Entrée non valide

Remarks, wishes or particular comments

Entrée non valide

By filling and sending this form, I certify that I have read and approved the financial conditions, the summer classes rules as well as the privacy policy of Lycée Töpffer

Entrée non valide

The fields marked with a * are mandatory

Summer course online registration july 2022

Personal Data

Legal Respondent

Legal respondent 2

Home address

Choose a summer plan

Please tell us if your child knows :