When multiple children, please submit one form per child*
Information to be provided by a responsible parent or guardian. Confirmation will be provided subsequently.
Level* Age 5-9Age 10-12
Child's Name*
Child's Surname*
Address*
Suburb*
State*
Postcode*
Name and Surname of Parent/Responsible Guardian*
Phone number of Parent/Responsible Guardian*
Email*
Does your child have any previous experience with the Italian Language? Please provide details*
Are you (parent/responsible guardian) already a member of the Dante Alighieri Society? If not, please fill out the online membership form* ---YesNo
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*Required fields
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