Adult Registration Form - Interactive French

Adult Registration Form

Legal Name (same as ID) *

Surname followed by Given Name(s)

Preferred Name *

First

Last

Gender *

Date of Birth

Preferred Contact Method *

Mobile Number *

WhatsApp Number

Leave blank if same as Contact Number

Email

Emergency Contact Person

Person to contact if you are in a medical health crisis

Emergency Phone Number

Lesson Location *

Outcall Location *

How did you know about us? *

Referred by

Other (please specify)

Our native speaking tutors offer French lessons through self-developed materials with detailed progress tracking for students in all ages and levels.

Company

Address
7/F, Po Wah Commercial Center

226 Hennessy Road

Wan Chai, Hong Kong
Phone
(852) 3563 5263
Email
info@interactivefrench.hk

Username or Email Address

Password

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