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Spring 2010 After School Elementary Spanish

Online Registration Form

The form below will register your child in a Puentes Elementary Spanish program. This will enable us to plan appropriately.

Please fill in the form below to register for any of our after school Spanish class sessions. Please be sure to include complete and accurate contact information, particularly email, as we use this information to confirm your registration. You can be sure that we will never sell or distribute your information to any other entity, so don't worry about that. Please select the appropriate class from the list and also please let us know how you learned of Puentes. Payment options are available upon request( Please contact us for details ASAP).

When you have finished the online form below, you can then print out the hardcopy registration form and send it in with your payment OR pay online via credit card (you will get a link to do this after submitting the form below).

Thank you for choosing Puentes Language Programs!



Please fill in the form below for each student. Enter information in the boxes, then click Submit.

Student First Name:
Student Last Name:
Student Age:
Student Grade:
Parent First Names:
Parent Last Names:
Student's School:
Your Home Address:
Your City:
Your Zip Code:
Daytime Phone:
Evening Phone:
Cell Phone:
Email Address:
Has your child had any prior Spanish instruction?
If so, how many years of Spanish?
Which Class are you Registering for?
How did you learn of PUENTES?
If you were referred by someone, please tell us who so we can say Thank you.
Comments:
 

When you click on Submit Form, the above registration information will be sent to us. You will be taken to a screen where you can choose to pay online via credit card, or you can send in your check separately.

 

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