Registration - V.I.P. Vancouver Immersion Program

Register for Vancouver Immersion Programs (V.I.P.)

Are you a French speaking resident of the province of Quebec, Canada?
Would you like to improve your English skills?

Travel Pair Rate - If you would like to enjoy this learning experience with a friend, spouse, or significant other, you can save money by sharing a room. Both participants must register for the program.

Registration must be completed three weeks before package date.

* Indicates required fields.

	: Full Name (as it appears on legal documents)*
	: Your Preferred Name
	: If you are registering for a pair package, who is your companion?
	: Complete Mailing Address*
	: Main Telephone number with area code*
	: Cell phone #
	: E-mail*
	: Travel Package # Check package numbers here
	: Classes Only (for combinations of group & private classes please contact us)
Before completing this registration form please take the language assessment test to see your level of English
%	: English Test Result*
	: Payment Method* Credit card and PayPal purchases may be completed upon submission of this form.

If paying by cheque. Please make cheques payable to: V.I.P. Vancouver Immersion Program. Mailing Address: V.I.P. Vancouver Immersion Program 11330 238 Street Maple Ridge, B.C. V2W 1V4