Registration Form for After School Spanish at Steindorf
Please register your child for After-School Spanish Enrichment using this form. Cost for the 10-week class is $290 per child. This fee includes all materials. You can mail a check to:

Habla Language Services
966 Whitethorne Drive
San Jose, CA 95128

Or use the link to pay with credit card.

Please feel free to email Gina Covello at if you have any questions.

Email address *
Parent Name *
Your answer
Parent Phone Number *
Your answer
Student Name *
Your answer
Student Grade Level *
Student Current Classroom Number *
Your answer
Does your child have any learning challenges? If so, please explain. *
Your answer
Does your child have any allergies? Also, do you have any objections to our giving them an occasional treat such as candy, popcorn, granola bar. *
Your answer
Does your child attend an after school program at Steindorf? *
Please indicate how your child will be picked up after the workshop: *
Do you have any questions about the above workshop?
Your answer
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