Registration Process

Parent information *

First Name

Last Name

Phone *

(###)

###

####

What is the best way to contact you?

Phone provided

Email provided

Student information *

First Name

Last Name

DOB

MM

DD

YYYY

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Days

Select the preferred day for the class

MON

TUE

WED

THU

FRI

SAT

Time Frame

Select the preference time frame (US central Time) for the classes

Morning (from 5am - 11:30 am)

Afternoon (from 12 pm - 6:30 pm)

Evening (from 7 pm - 10:30 pm)

Picture and Video Waiver *

I consent for the Spanish Room LLC to use class-related photographs and videos of my child solely for promotional material, publications, and social media and waive any rights of compensation or ownership. Spanish Room LLC will not use pictures for any other purpose or put full names with the photographs.

yes

No

Spanish Room LLC- Waiver *

I/We, the undersigned, are the parent(s)/guardian(s)of the above-named child and, I/we agree to release and hold harmless Spanish Room LLC, its owners, tutors, and contractors from all claims, demands, suits, cost, and charges in connection with or arising out of the provision of the Spanish classes, including, but not limited to, bodily harm or injury to my/our child.

Yes