Spanish Language Center :: Registration

registration

Group Class Registration Form

Student Info

Last Name

First Name

Address 1

Address 2

City

State:

Zipcode

Phone 1

Home Work Cell

Phone 2

Home Work Cell

Email Address

Occupation

Class will take place at this location

Please indicate where classes will be held:

At our locations:

If o nsite* (at your location), please write down the exact address in the box below:

*Onsite classes may require an additional (and reasonble) traveling fee. We will notify you if so.

Class Tuition Please choose tuition info from only one of the following columns and select the corresponding amount:
Lakeview	Downtown / Palatine
Tuition: Which class are you signing up for? For introductory, beginner, intermediate, advanced or only-conversation classes	Tuition: Which class are you signing up for? For introductory, beginner, intermediate, advanced or only-conversation classes

Class Starting Date

Tell us what class day, starting date, and time works best for you. PLEASE, also include a second tentative day, starting date and time.

1st Choice: , at

2nd Choice: , at

Your Form of Payment Info

Please enter the credit card information here:

Card Type:

Input Card Number:

Expiration Date: [mmyy]

Billing Zipcode:

Policies about your Class and Registration

Please carefully read the Terms of Registration:
Class Policies: Attendance Regarding class cancellations or rescheduling, students enrolled in group classes are expected to attend classes as scheduled. If you have to miss a class, we can arrange for a make up class but there is a cost for the instructor's time. Classes that fall on national holidays are commonly rescheduled. As a courtesy to your classmates and instructor, please call (773) 665-9887 to notify if you are going to be absent or late. Refunds Due to the small size of our classes, tuition is not refundable. However, in case you cannot start this course, tuition can be used towards another course or an equivalent private class to be completed within six months of today.

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 marked above.

Spanish Language Center