January and March Kids Spanish 2019
Please fill out completely and submit. You will receive an email confirmation and an invoice within a couple of days.
Payment options are mentioned at bottom of this form. Gracias!

How did you hear about us? *
First name *
Your answer
Last name(s) *
Your answer
Name used or nickname *
Your answer
Gender *
Camper grade *
Your answer
Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Email address *
Your answer
Preferred phone # *
Your answer
Emergency contact name, relationship and phone # *
Your answer
Please note any other information you think we should know pertinent to this class/camp.
(Food allergies/ restrictions, activity limitations, etc.)
Your answer
Choose all that apply *
8:30 a.m. - 4:30 p.m.
Required
Discounts - Check all that apply *
Also, refer a friend, have them mention you and receive a $10 credit!
Required
I will pay by the following method *
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