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LKNLA Spanish Tutoring Registration
We appreciate your interest in the classes! Muchas gracias!
You can reach us at info@LKNLanguageAcademy.com Phone: 704-253-3361 www.LKNLanguageAcademy.com
Student's Name (First, Last name)
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Male or Female
Grade
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Age
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Birthdate
MM
/
DD
/
YYYY
Spanish Level
Currently taken at school
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School Name
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Parents' Names
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Home Phone
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Cellular Phone
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E-mail address
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Address
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Emergency Contact Name and Phone number
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Location of the tutoring lesson
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Days/Time of the class
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How did you hear about us?
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Payment amount
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Payment Type
Checks are payable to Lake Norman Language Academy. Please mail it to 104 Trotter Ridge Dr. Mooresville, NC 28117.
Please be sure to complete your payment to ensure your registration. Gracias!
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