LAKE NORMAN LANGUAGE ACADEMY - Spanish Club Registration Form
We appreciate your interest in the classes! Muchas gracias! We'll go back to you to confirm the registration of your child.
You can reach us at info@LKNLanguageAcademy.com Phone: 704-253-3361 www.LKNLanguageAcademy.com
Spanish Class Day/Time *
First Name *
Student
Last Name *
Student
Grade *
Age *
Male or Female
Parents' Names *
Teacher's Name *
Home Phone *
Cellular Phone *
E-mail address *
Address
Does your child attend an after school program? *
On the day of our classes.
Required
If your child has any health concerns that we should be made aware of, please explain below
food allergies, etc
Payment amount
In order to complete your registration the payment needs to be made up to 5 days after. The payment is not refundable; unless the session is cancelled.
Payment Type *
Please make check payable to Lake Norman Language Academy. Address : 104 Trotter Ridge Dr. Mooresville, NC 28117.
Required
Emergency Contact Name and Phone number *
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