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SUMMER SCHOOL APPLICATION FORM (Please provide the following information):

Family Name:
Given Name(s):
Email Address
Country
City/Town:
Tel. No:
Date of birth (dd/mm/yyyy):
Sex:
What is your intended start date?
(You can start on any Monday between.
28 June and 23 August).
For how many weeks? (We recommend a
minimum of 2 weeks.
What is your current level of Croatian?



How did you hear about the Croatian Language Course?
Would you like us to arrange accommodation for you?

Do you suffer from any illness or allergy?

Do you have to take any medications?

Further Details of illness, allergy or
medications:

Special Requests:
Would you like us to arrange an airport
transfer?


Yes, I have read and accept the general
terms & conditions for bookings;


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Island of Ugljan office:
Tel: +385 23 647 284
Mob: +385 95 893 8179
Fax: +385 23 286 001
Address:
Magazin br.8
23273 Preko
Croatia
www.con-sole.hr

Contact e-mail:
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