CHOICE OF PROGRAM : MELINA'S 4 WEEKS (3-5 YEARS OLD) 30/6/2008 - 25/7/2008   KEFALARI 4 WEEKS (5-17 YEARS OLD) 30/6/2008 - 25/7/2008 student's name : * DATE OF BIRTH : CITIZENSHIP : PARENT'S NAME : PROFESSION : COMPANY : HOME ADDRESS : HOME TELEPHONE :* WORK TELEPHONE : E-mail : MOBILE : EMERGENCY CONTACT (NAME/TELEPHONE) : SCHOOL ATTENDED BY STUDENT : LANGUAGE SPOKEN AT HOME : MEDICAL HISTORY (IF ANY) : PHARMACEUTICAL TREATMENT OR ALLERGIES (IF ANY) : HOW DID YOU LEARN ABOUT OUR PROGRAM? KNOWLEDGE OF ENGLISH : BEGINNER MEDIUM ADVANCED KNOWLEDGE OF greek : BEGINNER MEDIUM ADVANCED TUITION FOR THE 2008 SUMMER PROGRAM MELINA'S 4 WEEKS (3-5 YEARS OLD) 800.00 KEFALARI 4 WEEKS (5-17 YEARS OLD) 800.00     TRANSPORTATION For 1 week 150.00 For 2 weeks 200.00 For 3 weeks 250.00 For 4 weeks 300.00   PLEASE NOTE THE FOLLOWING : DISCOUNT FOR ISA STUDENTS 8% DISCOUNT FOR ISA SATURDAY PROGRAM STUDENTS 5% DISCOUNT FOR ISA SUMMER PROGRAM ALUMNI 5% A NON-REFUNDABLE DEPOSIT OF 200 EUROS MUST ACCOMPANY THIS FORM PAYMENT IN FULL MUST BE MADE BY JUNE 20, 2008