Culture Club - 2019/20 School Year Enrollment Abernethy - Beginner French
Beginner French - Tuesdays 3:00-4:00, Starting September 17th
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Student Information
Has the child studied a second language before? *
Child's first name *
Child's last name *
Child's age *
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Please explain *
Parent Information
Mother's name *
Cell phone *
Email Address *
Mailing Address *
Languages spoken *
Father's name *
Email Address *
Cell phone *
Mailing Address (if different from mother) *
Languages spoken *
Emergency Contact
Emergency contact name *
Phone *
Relationship to child *
Alternative pick-up
Alternative pick - up name *
Phone *
Relationship to child *
Class information
Classes will be held on Tuesdays days from 3:05 until 4:05 in room # 3
Classes will begin on September 17th. Minimum enrollment required
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Commitment to a full school year of study
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Payment Options
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Please make checks out to:
Culture Club
3145 NE Flanders St.
Portland, OR 97232
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