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
* Required
Language
*
Please specify the language you're registering for.
Your answer
Location of the class (address)
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Day of the class
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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
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Emergency Contact Name and Phone number
Your answer
Language Level
*
Beginner Basic
Beginner Intermediate
Beginner Advanced
Intermediate Beginner
Intermediate Advanced
Advanced
Did you learn this language before? (brief summary)
Your answer
How did you hear about us?
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Why do you want to learn this language?
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Payment amount
Payment needs to be made in advance.
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Payment Type
Make payment to LKN Language Academy. Address: 104 Trotter Ridge Dr. Mooresville, NC 28117.
Cash
Check
PayPal
Please be sure to complete your payment to ensure your registration. Thank you!
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