Private Lesson Request Form

Name

First NameLast Name

Address

Apt.

City

Postal Code

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Other Phone number

Please enter a valid phone number.Format: (000) 000-0000.

Email

example@example.com

Gender

Date of Birth - YYYY/MM/DD

Name of Parent or Guardian (if student is less than 18 years old)

First NameLast Name

Have you taken a course at the Vanier College Language School before?

Language to be learned

Availability - Days of week

Preferred timeslot

Specify preferred hour

Preferred modality

Number of lessons per week

Preferred length of lesson (hours)

What are your learning objectives for this private lesson?

Registration Requirements and Refund Policy:

• Students interested in private lessons must register for a minimum of four lessons

• Classes must be scheduled for one hour or longer

• Students must inform Vanier College a minimum of 24 hours in advance if they cannot attend a lesson

• In the event of connection issues for online classes, the lesson can be rescheduled but not cancelled

• The price of the course includes a one-time $20 Registration Fee + a $10 Administration Fee per lesson

• In the event of the cancellation of a contract, an administrative fee of $20 + $10 for each cancelled class remaining on the contract will apply

Check box to continue