Registration form for private instruction

Please complete this form, and submit. Our Coordinator will process your request and provide you an invoice with payment instructions, including for credit card payment.

For any questions in the meantime please email info@dasschulhaus.org.

Please complete the registration form below

Name

First Name

Last Name

Email Address

How many hours are you interested in?

Please select the amount of hours you are looking to book. If you have questions about how many hours you need, please reach out at info@dasschulhaus.org

Phone

(###)

###

####

Address

Please provide your postal address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Birthday

YYYY

Do you have any prior knowledge of German?

Do you have specific learning interests? Why would you like to learn German?

Any additional info we should know about?

How did you hear about us?

Social Media

Our Website

Word of mouth/ friends

Flyers/ Brochures

Media Release Form

I grant permission to Das Schulhaus- German Language School Regina Inc. to photograph me. I grant permission to the school to edit, crop, or retouch such photographs, and waive any right to inspect the final photographs. I consent to and permit photographs of me to be used by the school in relation to the public communication of information about the school. I understand that the school may use such photographs with or without associating names thereto. I waive any claim for compensation of any kind for the Das Schulhaus – Regina German Language School Inc. use or publication of photographs of me. I acknowledge and represent that I am over the age of 18, have read this entire document, that I understand its terms and provisions, and that I have signed it knowingly and voluntarily on behalf of myself.

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