Registration Form for After School Spanish at Steindorf for Grades 4th-8th

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Please register your child for After-School Spanish Enrichment using this form. Cost for the 6-week class is $240 per child. This fee includes all materials. You can pay online or mail a check to:

Habla Language Services
966 Whitethorne Drive
San Jose, CA 95128

Use the link https://squareup.com/store/habla-language-services to pay with credit card. Please be sure to select the correct class when paying as the spots are inventoried.

There are limited spots. You must pay in order to be registered. The first 12 who pay will be registered. After that, we will take a waiting list from your form here. If there is high demand, we will try to get a second TA and increase the class size.

Once you are registered, please complete this waiver. Feel free to email Gina Covello at gina@HablaLS.com if you have any questions.

Email *

Parent Name *

Parent Phone Number *

Student Name *

Student Grade Level *

4th-5th

6th-8th

Does your child have any learning challenges? If so, please explain. *

Does your child already know the basics?

Yes

Clear selection

Does your child have any allergies? Also, do you have any objections to our giving them an occasional treat such as candy, popcorn, granola bar. *

Please indicate how your child will be picked up after the class: *

Parent or other adult will come to pick up

Child will go to Afterschool Care

Other:

Submit

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