Adult Registration Form Title * First Name * Last Name * Please write "Child’s First Name" and " Child’s Last Name" to Farsi Language * Gender Male Female Telephone or Mobile Number * User Email * User Password * Confirm Password * Age * 18 – 25 25 – 35 35 – 45 45 – 55 55+*Age 16 & 17 apply with parents’ permission Your Home Full Address (Street, Town, Postcode) * Relationship * Emergency Contact Given Names * Emergency Contact Telephone Number * Emergency Contact Prefer Class Time? *Midday Evening Weekend Prefer to Begin with Which Section? *Speaking and Listening Writing and Reading Are there any Relatives who Speak Farsi Fluently? *More Information What is your Aim to Learn the Farsi Language? *More Information What is your Availability for Assessment? * Is there anything else you would like to tell us? Do you Give Permission for Video or Photographs to be Taken of you? * Yes No I AGREE *I agree that the above details are correct and up-to-date and that if any of the details change, I will inform the School. PRIVACY POLICY *I've read and accept the PRIVACY POLICY. Submit PRIVACY POLICY
