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Pre-Registration Form | Ficha de Pré-Inscrição 2020-2021
This form will allow us to better meet your needs for private or small group classes. Please select all options of days of the week and times you are available. We will contact you after reviewing your form and matching your needs with our available teachers and hours. Please allow 48 to 72 hours for a response.
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* Indicates required question
Email
*
Your email
Your name
*
Your answer
Phone number
*
Your answer
Would you like private classes or small group?
*
Choose
Private - in person
Small group - in person (up to 4 students)
Private - online
Small group - online (up to 4 students)
What type of class? (Small groups: all students need to be enrolled in the same type of class)
*
Choose
Portuguese as a Heritage Language (class is 100% in Portuguese)
Portuguese as a Second Language (comprehension level below 60%)
How many students would you like to enroll?
*
Choose
1
2
3
4
Which age/grade level? Select all that apply. Reminder: Small group needs to be at same age/grade level (changes can be made such as 3rd-4th, 5th-7th)
*
2-3 years old
3 to 5 years old
1st-3rd grade
4th-6th grade
6th-8th grade
High school
Adult
Other:
Required
Location of classes for in-person only - Address of Home for classes (please include zip code)
Your answer
Select all days of the week that you're available for classes
*
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Required
Select all the times you are available for classes?
*
Mornings - 9-11AM
Early Afternoon - 12:00 to 2:30 PM
Afternoon 3:00-5:30 PM
Early evening 6 to 8 PM
Evening 8 to 9:30 PM
Other:
Required
How long would you like classes to be? (Private: 1 to 1.5 hours, Groups: 2 students 1 or 1.5 hrs, 3 to 4 students 1.5 to 2 hrs, 5 to 6 students 2 hours)
*
Choose
30 minutes (pre-school only)
45 minutes
1 hour
1 hour and 30 minutes
Our curriculum is rich with cultural activities including cooking. Will our teacher be able to use the kitchen for cooking projects? For online classes, students will cook at home with parents or older students will cook during the online class. The teacher will let you know at least one week in advance.
*
Yes
No
Maybe
Will you provide a space in your home that is distraction-free for classes? (No TV on, no phones ringing, no people walking by during class)
*
Yes
Other:
Use this space for any comments, questions or requests you may have
Your answer
Obrigado!
Thank you for filling this form out. We will contact you within 72 hours with schedule options. We look forward to having you in our program!
A copy of your responses will be emailed to the address you provided.
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