CONVERSE CENTRE for SECOND LANGUAGES

Contact Us

CONVERSE CENTRE for SECOND LANGUAGES
225 Broadway Street

Mississauga, L5M 1J1
(905) 826-3334

info@conversecentre.com

Registration Form

Please complete the form below to register for any of our courses/offerings.

First Name *

Last Name *

Home Phone Number *
(ex: 111-222-3333)

Work Phone Number
(ex: 111-222-3333)

Cell Phone Number
(ex: 111-222-3333)

E-mail *

Address *

City *

State/Province *

Postal Code *

Country

Which language do you want to learn?

Adult or youth program?

Previous experience with CONVERSE, Which level?

Are you a beginner?
Yes No

Do you need an evaluation?
Yes No

Group, private instruction?
Group Private

Which classes do you prefer?

* indicates required field.