LKNLA Registration Form Foreign Languages
We appreciate your interest in the classes!
You can reach us at info@LKNLanguageAcademy.com Phone: 704-253-3361 www.LKNLanguageAcademy.com
Language *
Please specify the language you're registering for.
Your answer
Location of the class (address)
Your answer
Day of the class
Your answer
First Name *
Student
Your answer
Last Name *
Student
Your answer
Home Phone
Your answer
Work Phone Number
Your answer
Cellular Phone *
Your answer
E-mail address *
Your answer
Birthday
MM
/
DD
/
YYYY
Address
Your answer
Emergency Contact Name and Phone number
Your answer
Language Level *
Did you learn this language before? (brief summary)
Your answer
How did you hear about us?
Your answer
Why do you want to learn this language?
Your answer
Payment amount
Payment needs to be made in advance.
Your answer
Payment Type
Make payment to LKN Language Academy. Address: 104 Trotter Ridge Dr. Mooresville, NC 28117.
Please be sure to complete your payment to ensure your registration. Thank you!
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