Winter-Spring 2019 CUSLAR "Hola, Amigos!" Spanish for families
CUSLAR's "Hola, Amigos!" Winter classes start January 31, 2019. Spring classes start April 25, 2019. Classes are held Thursday afternoons at Tompkins County Public Library BorgWarner Room, 101 E. Green St., Ithaca.

Please fill out this form, read it carefully, and submit. Your name in the "signature" box implies agreement with the terms set forth below. Your registration will not be complete until payment is received, either via cash, check or credit card.

Please mail checks to:

Center for Transformative Action / CUSLAR
316 Anabel Taylor Hall
Ithaca, NY 14853

Registrant Name *
Your answer
Registrant Address *
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Registrant Phone Number *
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Registrant Email *
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Age group *
Which section are you signing up for?
Number of Participants *
If you are registering with more than 3 children, please fill out the form a second time! (You don't have to pay double)
Full name: Child 1 *
Your answer
Age: Child 1 *
Full name: Child 2
Your answer
Age: Child 2
Full name: Child 3
Your answer
Age: Child 3
Type of Payment *
Where did you hear about CUSLAR's "Hola, Amigos!" classes? *
Payment Agreement
I, the undersigned, agree to pay in full by the first day of classes to CUSLAR for services rendered as detailed above.

Students will not be able to continue attending classes if payment is not received the first day of class. Checks should be made payable to CUSLAR/CTA and mailed to CUSLAR, 316 Anabel Taylor Hall, Ithaca, NY 14853. (If you prefer to drop it off, you can bring it to the CURW Main Office, 118 Anabel Taylor Hall, and leave it in CUSLAR’s Mailbox.)

Exemptions applicable only to those students who requested and were approved for a payment plan or work-trade in advance. I the undersigned also understand that this payment is for the entire class, and no class-by-class price can be negotiated.

Liability:

I, the undersigned, understand that CUSLAR, the Center for Transformative Action, Cornell University and Tompkins County are not liable or responsible for injuries sustained during Spanish for Families classes or related activities.

Refund Policy:

I, the undersigned, understand that if for any reason I choose to discontinue the CUSLAR "Hola, Amigos!" class, I will be reimbursed 50% of the class tuition if I stop attending classes and notify CUSLAR prior to the drop deadline, 1 week after classes start. After the drop deadline, payment will be non-refundable. Class tuition can only be reimbursed 100% if CUSLAR is notified *before* classes begin, minus a $20 administrative fee. CUSLAR is a non-profit organization, and all income from language classes go toward continuing CUSLAR’s educational work with the broader Ithaca community and beyond. If any class is discontinued because the minimum number of students has not been reached, all students will be refunded 100% of classes canceled.

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Date *
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