Student Registration Form

Please select the course that interests you. *

Are you a new student?

Yes

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 *

E-mail Address *

The email must be valid and should belong to the student not his or her parent.

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.

Main mobile phone number *

Example: xxx-xxx-xx-xx-xx

Second mobile phone number *

Example: xxx-xxx-xx-xx-xx

City of Residence *

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