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

Parent/Guardian 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

(Summer 2024) CHOOSE YOUR WEEKS:


I understand that deposits and payments for Creative Spanish Summer Camp are non-refundable in the event of absence or withdrawal of any students for any reason whatsoever, regardless of voluntary or dismissal from the program if the child conduct or behavior is deemed unacceptable.

Minimum deposit of 50% is due with the completed form after it is approved that space is avai
lable. Full balance is due before the starting requested week.

Make payments to:
Zelle: 925 234 0989 (Juliana Romero)


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