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Summer courses online registration

Personal data

Name*
Please type your full name.

Birthdate*
/ / Invalid input

Date of birth of the pupil

Mobile phone of the pupil
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Family name*
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*
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Mother tongue*
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Nationality*
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Name*
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Legal respondent e-mail*
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Mobile or professional phone number
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Family name*
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Name
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E-mail legal respondent 2
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Family name
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Mobile phone of legal respondent 2
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Home address
Street, number*
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Zip code*
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Country *

Floor, appartment
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City / State / Department / Province*
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Private phone*
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Insurance*
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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.-

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Chose a summer plan

Applies for*
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Internship dates*

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Dates *

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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

Class*
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School and class for next year *
School*
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Indicate as well the swiss canton or the country if outside of Switzerland

Class*
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Desired studies*
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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*

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Subject II*

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Subject III*

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Non french-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*

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Subject II*

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Subject III*

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Has been studying french since*
invalid data

French level*
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Has been studying german since*
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German level*
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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
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How to ride a bycicle
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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.

*
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The fields marked with a * are mmandatory.