Vive La France School & Travel
1087 South 1100 East, Salt Lake City, Utah 84105

 Registration Form
Print this form, fill it in and mail it to the above address, or use this form as a guide
and enter the information in an email message to Catherine@vivelafranceschool.com

 The information given on this form will not be given to anyone else.
If you prefer, you may call 801-582-6019 and register on the telephone

Name _________________________________________________________________ 

Address (including city and zip code)___________________________________________

_______________________________________________________________________

Phone number(s) _________________________________________________________

Email address ____________________________________________________________

Interest in French language __________________________________________________

_______________________________________________________________________
 

Experience/Background in French language (if any) ________________________________

_______________________________________________________________________
        

List the class, daycamp or travel to be registered for  ________________________________

_______________________________________________________________________

Interest in French Travel ____________________________________________________

_______________________________________________________________________
 

Please include a $75 deposit for the class or daycamp, or $300 deposit for travel
Make the check payable to Catherine Thorpe, and mail to: 1087 S. 1100 E., Salt Lake City, UT 84105