Please select the course that interests you. * - Select -English for AdultsEnglish for Young Learners Are you a new student? Yes No If you are a returning student, in which office did you study? AMIDEAST Casablanca AMIDEAST Rabat First Name of the student * Last Name of the student * For students under the age of 18, please provide a parent’s email address The email address must be valid and is only required if the student is under 18. This email will only be used for communication purposes. E-mail Address * The email must be valid and should belong to the student not his or her parent. Main mobile phone number * Example: xxx-xxx-xx-xx-xx Second mobile phone number * Example: xxx-xxx-xx-xx-xx City of Residence * What code is in the image? * Enter the characters shown in the image.