LANGUAGE ANYWHERE, Inc.
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Name : ____________________________________

Date of Birth: M____ / D_____ / Y______

Address: __________________________________

___________________________________________

Phone: ____________________________________

E-mail:_____________________________________

Will you be present during the class? It is very important for the psychology of the child to know that at any time during the class he/she can rely on a relative or nanny.

 
o Yes     No. Name : ____________________________

Has your child ever studied French before? For how long? Where?
______________________________________________

______________________________________________

______________________________________________

What do you expect from the class?
______________________________________________

______________________________________________

Does he or she have allergies, or any kind of health problem of which our instructor should be aware?

___________________________________________

___________________________________________

How did you hear about us?

___________________________________________

Policy: Your registration will be processed once we receive your payment, which is due before the beginning of your program. Please make sure to contact your instructor at least 24 hours in advanced if you cannot attend a class, any cancellations made within 24 hours will be charged.
REGISTRATION FORM FOR KIDS
Contact Us
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Contact our programm coordinator
at French classes@languageanywhere.com
prior to sending your registration form since classes may already be filled.