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AFTER SCHOOL PROGRAM
REGISTRATION FORM

* Please contact us to check availability before making any payments. Thank you! *

Parent/Gaurdian Information

Child's Information

If more than one child, add additional information to each section separated with a comma

(ex: Maya Smith, Liam Smith)

Spanish speaking level

I hereby give my permission to Creative Spanish to use my child’s image for promotional purposes, such as Creative Spanish materials or written promotions, including but not limited to the Creative Spanish website. I can retract my permission in writing at any time. 

Other Emergency Contact

Monthly Payment (After School Program):
Payment due by the 5th of each month.

 

Class hours: 3:30pm - 5:30pm


* Two hour class/ once a week:     $150

* Two hour class/ twice a week:     $300  

* Two hour class/3 times a week:  
$400 

* Two hour class/4 times a week:  $500 

* Two hour class/5 times a week:  $600

Choose your days

Extended Care available for $15/hr (starting at 1:30 pm, ending at 6 pm)

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