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Student Registration Form

* Indicates required field

Student's Name *

First

Last

Parent's Name *

First

Last

Email *

Home Number *

Mobile Number *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Please notify us of any allergies, health Issues, or medications taken *

Emergency Contact Name *

First

Last

Emergency Contact Phone Number *

School Name *

Student's Grade *

Teacher's Name *

Student's previous Spanish experience *

Please find your school or preferred location. Select the preferred class time from the dropdown box.

Advanced Spanish - Expertos *

Ayer Elementary *

Batavia Middle School *

Batavia Elementary *

Boyd E. Smith Elementary *

Maddux Elementary *

JF Burns Elementary *

Meadowview Elementary *

McCormick Elementary *

Kings Mills Elementary *

Pattison Elementary *

Sands Montessori *

Preschool Spanish - Chiquitos *

Sherwood Elementary *

South Lebanon Elementary *

Summit Elementary *

Symmes Elementary *

Wilson Elementary *

Summerside Elementary *

Wyandot Early Childhood School *

Dismissal (for AFTERNOON classes only) *

New Students: Referred by (if applicable): *

By pressing submit I hereby authorize my, and /or my child's, participation in the World of Spanish class for which I am registering. I knowingly and freely accept all risks associated with participation in this activity and hereby release World of Spanish LLC and its respective boards, employees, agents, assignees and instructors from all responsibility in the event of accident or injury associated with participation in this activity. In consideration of my and/or child's participation in this program/activity, I agree that my likeness, or the likeness of my child, may be photographed or videotaped and that such image (s) may be published in an outlet used to promote World of Spanish LLC. Furthermore, I authorize World of Spanish LLC to to use my email address to send me updates and class information. My agreeing below indicates that I am at least 18 years of age, and that I have read and understand the above information concerning participation in the class for which I am registering myself and/or my child.

Payment Options *

Release of Liability and Authorizations *

I understand and accept the terms described above

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My kids absolutely love going to class. They have learned so much and it has even put them on the track to asking me in their day to day lives “Mommy, how do you say that in Spanish?” Thank you so much!

Student Registration Form

Mailing address

Telephone

Email

Student Registration Form

Mailing address

Telephone

﻿Email

Email