Spanish Language Center

registration

 

Registration Form: Spanish for Children

Parent or Guardian's Info

Last Name
First Name
Child's Full Name
Address 1
Address 2
City
State:
Zip code
Phone 1 Home Work Cell
Phone 2 Home Work Cell
Email Address
Occupation

Location of Classes

Please clic on location for classes:




If onsite, indicate where:

 

Tuition for Private Classes

If you are registering just one child for a private class, please check this box and select one of our private packages:

 

Tuition for Group Classes

If you are registering more than one child for a group class, please check this box and select from one of our group options.

We will follow up with a phone call or email for the names of all the children.



What Class Dates Work Best for You

Please provide two options of tentative dates and times:

1st Choice: , at
2nd Choice:

, at

 

Credit Card Information

Please enter the information here:

Card Type:


Card #:


Expiration Date: [mmyy]


Billing Zipcode:


Please carefully read the following:

Check here to acknowledge the terms of registration:

 
By clicking submit I accept the above terms and authorize the Spanish Language Center to charge my credit card for the amount of the chosen above.

 

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