Application form Field trips to the Goethe-Institut Washington Last name First name ADDRESS Name of the School Street City/ ZIP code State CONTACT E-Mail address (Cell-)phone number ADDITIONAL INFORMATION Desired date Alternate date Time slot Please select 10:00am - 11:30am 11:30am - 1:00pm 2:00pm - 3:30pm 3:30pm - 5pm Number of students Level of language proficiency Desired topic Comments Declaration of consent During the visit, we like to preserve the experience by taking photos, which is why we would kindly ask you to have the declaration of consent for the distribution of the photographs signed by the parents of the attending students and to bring these declarations with you to the Goethe-Institut. Declaration of consent(PDF, 108 KB) Would you like to receive our newsletter? Yes No Data protection The Goethe-Institut Washington guarantees a strictly confidential handling of your data. * required When you send us the information contained in the contact form by clicking on the button below, you declare your consent for us to use your personal data for purposes of answering your enquiry and/or contacting you. You can revoke your consent by sending an e-mail message to germancourses-washington@goethe.de. If you revoke your consent, your data will be erased immediately. Otherwise, your data will be erased after we have processed your enquiry or if the purpose of storing it no longer exists. Privacy Policy CancelSend