LKNLA Spanish Tutoring Registration
We appreciate your interest in the classes! Muchas gracias!
You can reach us at info@LKNLanguageAcademy.com Phone: 704-253-3361 www.LKNLanguageAcademy.com 
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Student's Name (First, Last name)
Male or Female
Grade
Age
Birthdate
MM
/
DD
/
YYYY
Spanish Level
Currently taken at school
School Name
Parents'  Names
Home Phone
Cellular Phone
E-mail address
Address
Emergency Contact Name and Phone number
Location of the tutoring lesson
Days/Time of the class
How did you hear about us?
Payment amount
Payment Type
Checks are payable to Lake Norman Language Academy. Please mail it to 104 Trotter Ridge Dr. Mooresville, NC 28117.
Please be sure to complete your payment to ensure your registration. Gracias!
Using Photos or Videos on Social Media/Website

During our awesome classes or events, we might take photos or videos to share the fun on our social media, website or promotional material.

By participating, you agree that we can use any photos or videos featuring you. This could include sharing on our social media, website, publications, advertisement, or in promotional materials.

We won't sell these images or videos, and you won't get paid for them. But we promise to use them to show how amazing our classes and events are!

If you're under 18, please ask your parent or guardian to give their okay.

Let us know if you have any concerns or don't want your images shared. Just send us an email.

Thanks for being part of our Family!


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