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Spanish Registration Form
Student Name
Grade
Age
Parent/Guardian Name
Address/City/State/Zip
Cell Phone
Alt. Phone
Parent/Guardian Email Address
Emergency Contact:
Emergency Contact Phone
Check Method of Payment:
Cash
Check
Zelle
Please make checks payable to Veronica Gutierrez
SELECT WHICH SEMESTER(S) OR SERIES YOU ARE REGISTERING FOR BELOW:
Select which Semester you are registering for below:
Select from dropdown menu
Select Series:
Series 1
Series 2
Other Series
IF INTERESTED, PLEASE COMPLETE THIS FORM AND SUBMIT ONLINE, OR EMAIL IT BACK TO
VQGUTIERREZ05@GMAIL.COM
BY WEDNESDAY
, SEPTEMBER 4, 2024
AND/OR 7 DAYS PRIOR TO EACH SEMESTER.
For more information contact Veronica at 714-588-5622 or email
vqgutierrez05@gmail.com
A minimum number of students is required to hold the class. Payment in full must be received one week prior to the first day of class. A 90% refund will be given to students who request to cancel 5 days prior to the first day of class. No full or pro-rated refunds will be issued. No exceptions. Students who are not picked up 10 minutes after class ends will be sent to AfterCare (on-site) to wait for their parents. The daily fee rate will then apply.
Register
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