InfinityED Initials Spanish Program - New Student Intake Form

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InfinityED Initials Spanish Program - New Student Intake Form

This form is used to collect basic interest and general information regarding service needs, education level, availability, etc.

Email *

Record my email address with my response

Learner's Name *

Learner's grade or age *

Guardian's Name *

Guardian's Contact Information

Please provide your phone number and best email to reach you at, if not one used to complete this form.

Learner's preferred meeting place?

(Remote, at InfinityEd center, at home, hybrid)

At InfinityEd Center in Wilbraham, MA - small group(max 3 students per group)

At InfinityEd Center in Wilbraham, MA - one-on-one

At Learner's Home(local to Wilbraham, MA) - Small group(max 3 students you bring the kids)

At Learner's Home(local to Wilbraham, MA) - one-on-one

Online - Small Group (max 3 students)

Online - one-on-one

Required

Additional notes about Learner's preferred meeting place such as 2nd and 3rd choices (optional)

When does the Learner prefer lessons? Select ALL that apply. *

Mornings

Afternoons

Evenings

Weekdays

Weekends

Other:

Required

Please provide additional details about preferred schedule and availability if needed.

Are you interested in more than one meeting per week? *

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