Summer course online registration

Personal Data

Name*

Please type your full name.

Birthdate :*

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Birthdate of the pupil

Mobile phone of the pupil

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Family name*

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Gender*

GirlBoy

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Mother tongue*

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Nationality*

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Nationality of the pupil

Legal Respondent

Name*

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Legal respondent's e-mail*

Invalid email address.

Mobile or professional phone number

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Family name*

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Nom de famille de l'élève

Legal respondent's phone number*

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Legal respondent 2

Name

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E-mail

Invalid email address.

Family name

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Nom de famille de l'élève

Mobile prone of legal respondent 2

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Home address

Street*

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Zip code*

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Country

Town / City / State*

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Private phone*

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Insurance*

YesNo

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Please, indicate if the child has a health insurance, accident insurance and third-party-liability insurance valid in Switzerland and France

In that case, would you like to apply for Lycée Töpffer's insurance plan? Valid for one month for CHF 150.-

Yes

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Choose a summer plan

Applies for*

InternshipFull day (9h00 to 18h00)Classes, lunch, studies (9h00 to 14h00)Externship (9h00 to 12h00)

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Internship dates :

From sunday 11 to friday 30 of july 2021 (= 3 weeksFrom sunday 11 to friday 23 of july 2021 (= 2 weeks)From friday 16 to friday 30 of july 2021 (= 2 weeks) Entrée non valide

Dates*

From monday 12 to friday 30 of july 2021 (= 3 weeks

From monday 12 to friday 23 of july 2021 (= 2 weeks)

From monday 19 to friday 30 of july 2021 (= 2 weeks)

From monday 12 to friday 16 of july 2021 (= 1 week)

From monday 19 to friday 23 of july 2021 (= 1 week)

From monday 26 to friday 30 of july 2021 (= 1 week)

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School and class until june *

School*

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

Classe*

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School and class for next year

Ecole et classe prévues pour l'anée scolaire prochaine*

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Class*

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Desired studies*

For french-speakingFor non french-speaking

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French-speaking: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):

Subject I*

French

German

Mathematics

English

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Subject II*

French

German

Mathematics

English

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Subject III*

French

German

Mathematics

English

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Non fench-speaking: for three hours of classes in the morning, please choose a subject per class (you can choose the same subject for 2 or 3 classes):

Subject I*

French

German

English

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Subject II*

French

German

English

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Subject III*

French

German

English

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Has been studying french since*

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French level*

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Has been studying german since*

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German level*

Veuillez sélectioner le niveau d'allemand

Has been studying english since*

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English level*

Veuillez sélectioner le niveau d'allemand

Please tell us if your child knows :

How to swim

YesNo Entrée non valide

How to ride a bycicle

yesno Entrée non valide

His/her size (in cm)

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Does your child need to be transferred from Geneva's main train sation or from the airport?*

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If so, a separate form will be sent to you with the confirmation of the registration.

Remarks, wishes or particular comments

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Eventually the name, address and telephone of a reference person residing in Geneva for the pupils from foreigh countries.

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

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The fields marked with a * are mandatory

Summer classes online registration