SUMMER 2022 at The Español Experience

CLASSES MEET ONCE A WEEK FOR 8 WEEKS: July & August 2022

Saturday class starts July 9

Wednesday class starts July 13

Thursday class starts July 14



Qty
Description
Amount
Total

$200.00
---

$200.00
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Total: $0.00
Future Commitment: $0.00
Student Information
Registration is complete when payment is made for each child.
(xx/xx/xxxx)

If your child has any 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. If none, please enter NONE.

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)
Release Agreement
I have indicated on this form any restrictions or special needs my child has, and I understand that those must be discussed with The Español Experience in advance of registration in order to ensure it is properly equipped to serve my child’s needs. I also 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

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