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Language Gym (LG) Service Application
Please type in all the information required for the online application below for your sessions. Once you have finished, please click SUBMIT.
First name
Last name
Address (number, street, and apt. no.)
City
State
Zip code
Country
Tel (home)
Tel (cellular phone)
Email@Address
Occupation
Hobby
Week-day Session
Please select the session dates and the time (1st choice and 2nd choice) for each date: We always try to schedule your first choice for the session. If you prefer a particular advisor for your session, please type in the advisor's name as well.
1. Month 1 2 3 4 5 6 7 8 9 10 11 12 Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 1st choice 9:50am- 11:00am- 12:10pm- 1:40pm- 2:50pm- 4:00pm- 5:10pm- 6:20pm- 7:30pm- 2nd choice 9:50am- 11:00am- 12:10pm- 1:40pm- 2:50pm- 4:00pm- 5:10pm- 6:20pm- 7:30pm-
2. Month 1 2 3 4 5 6 7 8 9 10 11 12 Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 1st choice 9:50am- 11:00am- 12:10pm- 1:40pm- 2:50pm- 4:00pm- 5:10pm- 6:20pm- 7:30pm- 2nd choice 9:50am- 11:00am- 12:10pm- 1:40pm- 2:50pm- 4:00pm- 5:10pm- 6:20pm- 7:30pm-
3. Month 1 2 3 4 5 6 7 8 9 10 11 12 Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 1st choice 9:50am- 11:00am- 12:10pm- 1:40pm- 2:50pm- 4:00pm- 5:10pm- 6:20pm- 7:30pm- 2nd choice 9:50am- 11:00am- 12:10pm- 1:40pm- 2:50pm- 4:00pm- 5:10pm- 6:20pm- 7:30pm-
Comments (I prefer 2-hours session, etc.):
Week-end Session
1. Month 1 2 3 4 5 6 7 8 9 10 11 12 Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 1st choice 10:40am- 11:50am- 1:00pm- 2:10pm- 3:20pm- 4:30pm- 2nd choice 10:40am- 11:50am- 1:00pm- 2:10pm- 3:20pm- 4:30pm-
2. Month 1 2 3 4 5 6 7 8 9 10 11 12 Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 1st choice 10:40am- 11:50am- 1:00pm- 2:10pm- 3:20pm- 4:30pm- 2nd choice 10:40am- 11:50am- 1:00pm- 2:10pm- 3:20pm- 4:30pm-
3. Month 1 2 3 4 5 6 7 8 9 10 11 12 Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 1st choice 10:40am- 11:50am- 1:00pm- 2:10pm- 3:20pm- 4:30pm- 2nd choice 10:40am- 11:50am- 1:00pm- 2:10pm- 3:20pm- 4:30pm-
Please select the session type:
Type A: Private Session (adult or child aged four and over)
Type B: Semi-Private Session (adult and child aged under four)
Type C: Semi-Private Session (two adults or adult with child aged four and over)
1) Cost for type B session includes both adult and child under four. 2) Group Sessions are available for three or more people upon request. Please call for more information.