COMPLETE FORM TO REGISTER
WINTER 2021-22

GRADES K-3 - Session 1: TUESDAY
Cost: $160

GRADES 4-6 - Session 2: WEDNESDAY
Cost: $175

GRADES 7 AND UP - Session 3: THURSDAY
Cost: $175

Apply 10% discount if registering for 2 students

Payment: Cash or checks payable to Leah Zara-Acevedo, LLC
Drop off or mail to: Leah Zara-Acevedo, 828 O’Donnell Avenue, Scotch Plains, NJ 07076
VENMO  @leah-zara-acevedo
ZELLE   letsmonet@gmail.com


Skip Section 2 if registering only one student.

登入 Google 即可儲存進度。瞭解詳情
電子郵件 *
Parent Name *
Address *
Phone Number *
Student Name *
Age *
SESSIONS *
必填
Do we have your permission to use photos of your child/children for marketing and/or social media such as Facebook and Instagram? *
Make-up Classes are to be taken during WINTER2021-22 Session Only. Seating is based on availability. In case of serious emergency, a credit will be issued. Initial Below for acknowledgement. *
Amount Due (deduct 10% FOR SIBLING DISCOUNT) *
繼續
清除表單
請勿利用 Google 表單送出密碼。
Google 並未認可或建立這項內容。 檢舉濫用情形 - 服務條款 - 隱私權政策
Google 表單