LKNLA  ESL/Foreign Language Registration
We appreciate your interest in the classes!
You can reach us at info@LKNLanguageAcademy.com Phone: 704-253-3361 www.LKNLanguageAcademy.com 
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Language *
Please specify the language you're registering for.
Type of 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 *
How did you hear about us? *
Did you learn this language before? (brief summary)
Why do you want to learn this language? *
Choose days and add times available to try to accommodate you with the right instructor. *
Required
Payment amount
Payment needs to be made in advance.
Payment Type *
Required
Please be sure to complete your payment to ensure your registration. Thank you!
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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