Private Tutoring Please contact Angelika at email@example.com or 713-822-4257 for more information about private tutoring. Once you have scheduled some lessons, you can register and pay for the scheduled private tutoring using the form below. Private Tutoring Registration Form To complete registration and pay for private tutoring online, complete and submit the information below. A response is required for all fields marked by *. YOU MUST SCHEDULE PRIVATE TUTORING (SEE ABOVE) BEFORE SUBMITTING THIS FORM. Name* First Last Prefer to be calledLet us know the name you would prefer that we use for you during class.Your Contact InformationAddress* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Primary Phone*Secondary PhoneEmail* Enter Email Confirm Email About YouThis information in section is optional, but any answers you give may help us to meet your needs betterDate of Birth MM DD YYYY Place of BirthOccupationEmployerAbout You and the German LanguagePrior German Learning*Let us know the way(s) that you have previously learned German. You must answer at least one. None High School Class(es) College Class(es) Lived in Germany German-Speaking Family Member(s) German-Speaking Friend(s) Other Other German LearningIn what way(s) other than those listed above have you learned German?Your Current Level*What do you consider to be your current German-language level? You must select one.No current knowledge of GermanBeginnerIntermediateAdvancedYour Current Target*Select what you currently want to accomplish with your German language course. You must select one.Tourist CapabilityConverse in GermanBusiness CommunicationFluencySpecial CommentsLet us know anything you think might be useful to us in providing you with as useful a course as we can.Amount*Enter the amount to be paid with this registration. The amount should be the Tuition for the tutoring that was given to you by GIS when you arranged for the tutoring plus the non-refundable $35 Registration Fee. Private Lesson Policies*REFUNDS Cancellation by Registrant: Tuition paid by you for private tutoring as a package of 10 sessions will be refunded to you ONLY if, no later than 3 days before the scheduled first session for the package, we RECEIVE written notice that you are canceling your registration. Such written cancellation notice must either be sent by email to firstname.lastname@example.org or by mail to German Institute for the Southwest, P. O. Box 550465, Houston, Texas 77255. The $35 Registration Fee for a package of 10 tutoring sessions canceled by a registrant will not be refunded. If you cancel any one private session, you will be offered a make up class or a refund, but ONLY if you give at least 24-hours’ notice before the scheduled start of that session. If you do not show up for a private session, there will be no make up session or refund. Cancellation by Us: In the unlikely event that we cancel a tutoring package of 10 sessions, both Tuition and Registration Fees paid for the course will be refunded to the registrant. Any refunds will be mailed to the address provided at the time of registration unless we have previously been given written notice of an address change. I acknowledge that I have read and I agree to all of the terms of the Refund Policy stated above. Payments are securely processed by PayPal. When you click submit, you will be taken to the PayPal payment screen. You can pay either with your PayPal account (if you have one) or with your VISA, MasterCard or Discover credit or debit card. To pay using a VISA, MasterCard or Discover, click on "Pay with a credit or debit card, or with PayPal Credit" at the bottom of the right side of the PayPal payment screen.