👦👧 If the student is a minor (Children / Teens)

Please provide the legal guardian's details below. (Adults can skip this section).

Full Address *

Course Objectives (multiple choices possible) *
School studies / SupportProfessional goalPrepare for an official exam (DELE/SIELE)Personal project / Travel

Qualiopi Requirement: What is your exact final goal and the expected result at the end of this course? *

Accessibility: Do you wish to report any special accessibility needs or disability accommodations?

Chosen Format *
IndividualGroupHybridOnline

Select the course(s) you are interested in *
Group course / 30h (New student: 500€ / Returning: 400€)CPF Group course / 30h (New student: 1,200€ / Returning: 900€)Mixed course / 30h group + 10h individual (2,100€)Middle/High School course (Individual: 350€ / Group: 250€)Children's course / 10 sessions (New student: 300€ / Returning: 250€)DELE PreparationOther (please specify below)

If "Other", please specify the desired course:

⚠️ If using CPF funding, please note and accept:

Mandatory fixed contribution payable by the account holder of 150 € (2026 rate) – unless legally exempt. Attendance and signature are mandatory for each session.

I commit to taking the official certification exam (DELE) at the end of the training, which is mandatory for CPF funding. I am aware that failing to attend may result in the loss of my funding rights.

I certify that I have been informed of the access times for the training, the evaluation methods, and the pedagogical details (Qualiopi Transparency).

I have read and accept the school's General Terms and Conditions and Internal Regulations.

I agree to become a member of the ELE USAL Strasbourg association (mandatory membership for insurance purposes, fee included in the price).

I consent to the processing of my personal data by ELE USAL Strasbourg in accordance with the Privacy Policy (GDPR).

Image Rights *
I authorize the use of photos taken during activitiesI refuse the use of photos