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Register for Foreign Language Classes

By bigcheese - Posted on 19 January 2011

You must fill out one registration form per child but please pay for all your children together.

Student’s First Name: *

Student's Last Name: *

Grade: *

Room: *

Teacher: *

Student's Address: *

Parent/Guardian 1

Your Name: *

Office Phone: Parent/Guardian 1: *

Cell Phone: Parent/Guardian 1: *

Home Phone Parent/Guardian 1: *

Email Address: *

Parent/Guardian 2

If there is another parent/guardian, please provide contact information

Your Name:

Home Phone: Parent/Guardian 2:

Office Phone: Parent/Guardian 2:

Cell Phone: Parent/Guardian 2:

Email Address:

Emergency

In case we are unable to reach you in the event of an emergency, please include the name and phone of someone other than the child's parents/guardians.

Name: *

Phone: *

Payment Options

The cost is $98 for one child, $176 for two children, or $244 for three children. Please choose one of the following payment options: *

Paypal

Check

Scholarship Request

Tell us about your child’s foreign language background:

(taken any foreign language classes at Franklin/Randall or at any other schools, lived in another country, has a parent that speaks the language, etc). When possible, we will offer two levels of the languages. If you would like us to try to place your child in class with a friend or sibling, please indicate that here.

Personal information we should know about your child:

e.g. special needs, allergies, behavioral concerns, etc.)

Preferred Location

First Choice: *

Franklin

Randall

We will attempt to accommodate your preferred location.

Pick-Up

Pick-Up: *

I will pick up my child promptly after class.

My child will go to After-School Child Care* PLEASE NOTE: The After School Program requires the Extracurricular Form to be filled out before children can participate in FLP.

My child will walk home.

Other

Explain other:

Volunteers:

I would like to talk to you about volunteering at the school during the program