Enrolment Form

Enrolments to the 2012 Circolo Classes have now closed.
However, it may be possible to accommodate new students in some levels if we receive late enrolment cancellations from our current students. For more information contact Elizabeth: president@circoloitaliano.org.nz

If you wish to enquire about private tuition, contact president@circoloitaliano.org.nz
Persons wishing to become members of the Circolo Italiano may do so by:

1:	Printing a copy of this page and posting with a cheque for the membership fee to the club. Fees Contact
2:	Completing the form (below) and clicking "submit". On receipt further instructions will be emailed to you by the Circolo Committee.
3:	By attending one of our social functions News.

Persons wishing to enrol inclasses may do so by:
Completing the form (below) and clicking "Submit". Your application details will be posted to the Committee of the Circolo via the Internet. On receipt, your enrolment/subscription application will be acknowledged by the Committee and further instructions will be emailed to you. Please complete all fields on this form. You will be prompted if necessary before submission.
Enrolment can only be confirmed on receipt of the relevant fees. Please note that fees are not refundable.
Personal information supplied will not be made available to outside agencies.

Personal details:

Preferred Title:

First Name:

Last Name:

Address:

Suburb:

Postcode:

City:

Telephone:

Home:
Work:
Mobile:

E-mail

Subscription to Circolo Italiano:

Italian Classes (Circolo Italiano Membership required)
Circolo Italiano Membership (only)

Classes Enrolment: (For subscribers to Italian classes only)

Beginners Stage One - Classes full	Monday 5.30pm-6.25pm Wednesday 5.30pm-6.25pm
Beginners Stage Two - Classes full	Monday 6.35pm-7.30pm Wednesday 6.35pm-7.30pm
Pre-Intermediate Stage One - Classes full	Monday 7.35pm-8.30pm
Pre-Intermediate Stage two - Classes full	Wednesday 7.35pm-8.30pm
Intermediate Stage One - Classes full	Wednesday 8.05pm-9.00pm
Intermediate Stage Two - Classes full	Wednesday 6.00pm-6.55pm
Post-Intermediate Stage One - Classes full	Monday 8:05pm-9:00pm
Post-Intermediate Stage Two - Classes full	Wednesday 7:05pm-8:00pm
Advanced - Classes full	Monday 6:00pm-6:55pm Monday 7:05pm-8:00pm

Additional information:(For subscribers to Italian classes only)

Have you studied Italian before?	Yes No
For what reason are you studying the Italian Language?
Please tell us where you heard of the Circolo Italiano
Do you wish to pay by Internet Banking?	Yes No

If not electing Internet Payment, please post a cheque for the appropriate fee.
Please note that fees are not refundable.