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.
Location of the class (address)
Day of the class
First Name *
Student
Last Name *
Student
Home Phone
Work Phone Number
Cellular Phone *
E-mail address *
Birthday
MM
/
DD
/
YYYY
Address
Emergency Contact Name and Phone number
Language Level *
Did you learn this language before? (brief summary)
How did you hear about us?
Why do you want to learn this language?
Payment amount
Payment needs to be made in advance.
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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