Register/Sign Up Here!
Hola! Use this form to register for the upcoming Summer 2021 session. Please provide responses to all questions.

If you wish to pay by credit or debit card: 1) First, complete this registration form and then, 2) go to the bottom of the left column and click on the green payment bar.

If you wish to pay by check, indicate that below. You will receive an invoice via email after you have submitted your registration. The remittance address where you can send your check will be on the invoice.

All classes must paid in full by the start of the 2nd class of the session. Please remember the "first come, first serve" policy. If you register for a class that is already full, you may be asked to move to another class.
Sign in to Google to save your progress. Learn more
Email *
About You!
This information is used to create class rosters. Thanks for providing it!
First Name *
Last Name *
Phone (For emergency use and occasional class use) *
City *
State *
Class Selection and Cost Information
This registration form is for the Summer 2021 Charlemos con Clemencia classes. All classes are $85.00 US per person for one class time period throughout the session. In the section below, please indicate the class time you plan to attend. You may register for one class here. If you wish to take more than one, please email: info@charlemos.net.

RETURNING STUDENTS: Not sure which level is right for you? Please read the information in the left column to determine the right level for you at this time or email info@charlemos.net.

NEW STUDENTS: Please email Clemencia to set up a short meeting by Zoom to define and confirm which group is best for you: info@charlemos.net.

Select the Class You Plan to Attend (You are allowed to select only one. If you wish to attend more than one class, please contact me via email at info@charlemos.net.) *
Make a Payment or Request an Invoice *
Thank you! Please click on SUBMIT below to complete your registration. Remember, if you intend to pay by credit or debit card, please return to the greenish button at the bottom of the left column to make your payment.
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Tenacious Change LLC. Report Abuse
Google Forms