Given Name *:
Street Address *:
Post Code *:
Tel. *: (h) (w) (mob)
Please fill at least one field.
By ticking this box I am declaring I am aged 18 or over, and I hereby apply to be a member of Central Queensland Alliance Française (trading as Alliance Française de Rockhampton) The student is under 18 years of age - Parent or legal Guardian must fill in details above. I hereby apply for (student name) to be a member of Central Queensland Alliance Française (trading as Alliance Française de Rockhampton)
Single - $25 Family - $35 (partner name ……………………..)
Adult Classes fees: $200 per term (as per State Schools calendar)
NB. Membership is not compulsory to attend French Classes. However Membership entitles you to:
• automatically receive emails and notices of social events held during the year e.g. Bastille Day celebrations, the French Film Festival, Picnics, Pétanque, Promenade, Conversation and Immersion Week-end etc.
• discount on the French Film Festival tickets
• discount on Rocky Flix movies (Walter Reid Cultural Centre) and Keppel Flix movies at Yeppoon Town Hall.
To assist with planning of course content, please indicate below, by numbering 1 – 4, in order of priority, the skills you wish to develop (or your child/ren) at the moment.
Listening Speaking Reading Writing
Do you have a proposed date for visiting a French-speaking country?
Have you (or your child/ren) already visited a French-speaking country? Yes No
If yes, when and for how long?
Have you (or your child/ren) studied French before? Yes No
At what level?
How did you become aware of us?
The Alliance Française regularly has articles published in the media to promote the organisation.
Are you happy to have your (or your child’s) image published? Yes No