Online registration is fast, easy and secure.
  • Siblings receive 5% off.
  • All payments are refundable, minus rate for classes already taken, plus a $15 administrative fee.
  • We reserve the right to cancel a class for insufficient registration, in which case a full refund will be issued.
Questions? Please call us at 917-889-4938.

We look forward to welcoming your child and your family to The Español Experience!
WINTER CYCLE: JAN – MARCH 2019
Sibling Discount: 5%
Qty
Description
Amount
Total

$325.00
---

$308.75
---


 
Promo Code
---
Total: $0.00
Future Commitment: $0.00
Student Information
Registration is complete when payment is made for each child.
(xx/xx/xxxx)
Does your child have any allergies, diet restrictions, health concerns or restricted activities please explain below or enter NONE.

If the student has an IEP or requires a paraprofessional during the school day, please contact us prior to registration to discuss your child’s specific needs.
PARENT/GUARDIAN INFORMATION
Check here to receive tips and resources at the above email to help your child grow their Spanish skills.
EMERGENCY CONTACTS (OTHER THAN ABOVE)
Dismissal Information
Please let us know below if your child(ren) will be either:
  1. Picked up by a parent/guardian or authorized person (18 or older).
  2. Is authorized to leave alone (12 or older)
Authorized for Pick-Up (Other Than Parents)
Individual must be prepared to present proper photo ID. No one else will be allowed to pick up a child unless notification is made in advance.
Release Agreement
In the event of a medical emergency affecting my child, I hereby authorize The Español Experience to obtain necessary emergency medical treatment for my child with the understanding that parents/guardians will be notified as soon as possible. I have indicated on this form any medical conditions or special needs my child has, and I understand that those must be discussed with The Español Experience to ensure they are properly equipped to serve my child’s needs. If program administrators determine that is not the case, a full refund will be immediately issued. I understand that my child is responsible for his/her possessions and that electronic devices may not be used during class time. I further understand that my child’s participation in program activities may be photographed or videotaped for use by The Español Experience for promotional and/or educational training purposes. Finally, I understand that students exhibiting disruptive behavior or disrespectful words/actions directed at staff or fellow students will be asked to leave the program. By checking this box I indicate that I have read and agreed to these conditions.
Payer Information
This is the address where your credit card statements are mailed.
A receipt will be e-mailed to this address.
Your Payment Information

VisaMasterCardAmerican ExpressDiscoverJCB

Powered by Acceptiva