Registration Form
Thank you for choosing the Acadia Center for English Immersion. To register for a course, please complete this form. When you are finished, click on SEND and the form will come to us as e-mail.
I am interested in the following courses
(please select at least one):
intensive course: combination (private/ mini-group) -- available all year
intensive course: private -- available all year
summer mini-group course -- available July/ August
 
Preferred beginning date?
Preferred ending date?
 
 
Name
Mailing
Address
Country
e-mail
Telephone (Day)
Telephone (Evening)
Cell Phone
Nationality
Native language
Date of birth
Gender
Male
Female
Profession

What is your English level?

How did you find out about the Acadia Center?
Questions or comments?
Please click on SEND. You will hear from us very soon.

Acadia Center
for English Immersion
info@acadiaenglish.com

Telephone: 207-354-7105
Fax: 207-354-7287