Lingua Talks Registration

Contact details

First name *

Last name *

Email *

Phone Number *

ID Number / Passport *

Date of Birth *

Nationality *

Country of Residence *

Home Address *

If You Are Under 18 – Parent/Guardian Information

Full Name of Parent/Guardian

Relationship to Student

Contact Phone Number

Contact Email

Consent & Agreement

I give consent for my child to enroll in Lingua Talks courses. I have read and agree to the Terms & Conditions and Privacy Policy on behalf of my child. I consent to Lingua Talks communicating with me regarding my child’s lessons and progress.

Emergency Contact (if different from parent/guardian)

Preferred Method of Contact

Lesson preferences

Lesson type *

Your availability (days & times) *

Time zone *

Preferred start date

Others

Learning goals

What is your main reason for learning English? *

Which skills would you like to improve the most? *

What is your short-term goal for this course? *

Technical Requirements Check

I confirm that I have access to a stable internet connection, a computer/laptop, and working audio/video.*

Optional details

How did you hear about us?

Policies & consent I have read and agree to the and . *