Accademia

VivariumNovum
Scholae aestivae 2017
1. General information
Family name / last name:

Given name / first name:

Occupation:

Age:
How many years have you studied Latin:

On a scale of 0 to 10, how do you think your Latin knowledge would be?

0 1 2 3 4 5 6 7 8 9 10

What is your mother tongue?

Which other languages do you know?

The grammar book to our textbook is available in the following languages. Select the one you prefer.

English Spanish French Italian

2. Accomodation form
I request a room (shared with one or two other participants) without en-suite toilet and shower
Showers and toilets for common use are available on the same floor. A discount of 300€/module off the standard fee would
be offered. The number of non-ensuite, shared rooms is limited.

I request a single room

Students are usually lodged in a double or a triple room; however, if you want to get accomodation in single room, you might
check this box. We kindly ask single-room occupants to add a donation of at least €600 each month in addition to the stan-
dard participation fee. The number of single rooms is very limited and reserved for participants with specific needs.

I am vegetarian
Vegetarians will receive special dishes.

I have food allergies (please describe your allergies)

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Anything else to declare?
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