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 https://squareup.com/store/habla-language-services to pay with credit card.

Please feel free to email Gina Covello at gina@HablaLS.com 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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