Spanish Language Center

registration

 

Spanish for Teenagers Registration Form

Last Name
First Name
Address 1
Address 2
City
State:
Zipcode
Phone 1 Home Work Cell
Phone 2 Home Work Cell
Email Address
Occupation

At which of our Chicago locations do you prefer to take your classes?


*Onsite classes require additional $50 per trip fee

If onsite, indicate where:
Tuition:
Teenager's classes are available to be held privately or in groups. Please select one of the options below:



1st Choice: , at
2nd Choice: , at

*We will work with you to find a suitable time for both you and the instructor

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 Intensive weekend course.

 

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