Language Adventures After School Spanish Immersion Program- Enrollment Form for 2018-2019
The D23 Elementary PTO is pleased to offer after school foreign language enrichment for students at Eisenhower (K-1st grade), Betsy Ross (2nd-3rd grade) and Anne Sullivan (4th-5th grade) schools starting the week of September 17th! Classes end May 16, 2019.

Enrollment for Language Adventures Spanish Immersion classes will begin on Wednesday, August 22nd and will close on September 4th (or when all classes have reached their maximum number of students, 15 each/135 students total across the three schools). Wait lists will be established if interest exceeds space in each class.

Classes are held after school from 2:30pm-3:15pm. We will begin with Monday classes at each school. Once Monday classes are filled, we will open classes on other days. A class calendar, workbook and homework materials will be provided to each participant.

Enrollments are on a first come, first serve basis. Although partially sponsored/supported by the EPTO, the cost to participate is for families participating in early enrollment is $15 per class ($450 total for 30 weeks of instruction). *Enrollment fees are due September 4th and can be paid in one of two ways:

(1) Online payment plus a $20 surcharge (link will be provided to confirmed enrollees)
(2) Via check made payable to Language Adventures postmarked by September 4th. Do not send payment until enrollment is verified.

Language Adventures
2035 S Arlington Hts Rd, Suite 113
Arlington Hts IL 60004

Payments made after the early enrollment period will be $480.


*Please note that any parent/guardian who signs up to be a "parent volunteer"will have HALF of their child's fee waived by the EPTO! This parent volunteer opportunity is also on a first come, first serve basis as there are limited spots. Responsibilities for the parent volunteer include: (a) meeting the children in the classroom, (b) assisting the Language Adventures teacher with bathroom breaks or behavioral challenges, (c) occasional communications to the participants' parents, (d) ensuring that all students are safely released after class (via their previously established transportation plan) and (e) attendance at each class for the 15 week program.

Questions? Please email d23ptopresident@gmail.com

Email address *
Student First Name *
Your answer
Grade Level *
Teacher name *
Your answer
Student Name of 2nd Child Being Enrolled
Your answer
Grade Level of 2nd Child Being Enrolled
Teacher of 2nd Child Being Enrolled
Your answer
Student Name of 3rd Child Being Enrolled
Your answer
Grade Level Of 3rd Child Being Enrolled
Teacher of 3rd Child Being Enrolled
Your answer
Parent(s) name(s) *
Your answer
Preferred email address (we will communicate with you primarily by email) *
Your answer
Primary phone number (xxx-xxx-xxxx) *
Your answer
Secondary phone number (xxx-xxx-xxxx)
Your answer
Please select the grade-appropriate Spanish Class (enrollments are capped at 15 students per class; participants will be chosen on a first come, first serve basis and upon receipt of payment) *
Transportation information - after class, my child will be: *
In case of an emergency, the following people are approved to pick up my child (please provide names and phone numbers): *
Your answer
Are there any special notes you would like the teacher / parent volunteer to know about your child? (special needs, allergies, etc.)
Your answer
I understand that there is a $450 fee ($15 per class for 30 weeks) and that the early enrollment fee is due on or before Tuesday, September 4th, 2018 *
Submit
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