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*PRIVATE* - 1-on-1 Online Brazilian Portuguese Classes / Adults
Student Registration Form
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Email
*
Your email
Student's full name
*
Your answer
Phone number to receive calls or messages.
*
Your answer
Full address.
*
Your answer
Do you understand Brazilian Portuguese?
*
Not at all.
1
2
3
Perfectly.
Do you speak Brazilian Portuguese?
*
Not at all.
1
2
3
Perfectly.
Do you write in Brazilian Portuguese?
*
Not at all.
1
2
3
Perfectly.
Do you speak any language other than English?
*
Your answer
If you have family, relatives or friends in Brazil, please specify where they are from. We'll use this information to bring relevant content to our classes which will have meaning and a special connection to you.
Your answer
Please, select the class you are interested in:
*
ONLINE | 8 CLASSES (8h) - DATE & TIME TBD | $400
ONLINE | SINGLE CLASS $55
Other:
Required
Which payment method do you prefer?
*
Venmo
Zelle
Other:
Please provide your Venmo username or the cellphone/email connected to your Zelle account:
*
Your answer
How did you hear about us?
*
Returning Student
Friend Referral
Meetup
Facebook
Instagram
WhatsApp Group
A post from a friend on social media
Word of mouth
Search Engine (Google, Bing, etc.)
Other:
Required
If you have any questions or comments please feel free to add them below.
Your answer
THANK YOU!
We will contact you soon.
If you need to contact us you may email us at
ginga.language@gmail.com
A copy of your responses will be emailed to the address you provided.
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