Registration Form for After School Enrichment Spanish at Steindorf Winter 2024

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Please register your child for After-School Spanish Enrichment at Steindorf Winter Semester 2024 using this form. Cost for the 9-week session is $360 per child. Early Registration Special Discount is $315 if registered and paid by January 5. 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.

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 *

1st

2nd

3rd

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

Does your child already know the basics? *

Yes

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:

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