Yoga and Gym Form – Fasttrack-Languages Bilingual School

Registration Form

After submitting this form, a confirmation message will be sent to your email and you will be redirected to the tuition payment. you may add more than one program to the cart.

Form Yoga - Gym

Days and Times

Confirm the day and time of the class.

Yoga - Gym | Tuesday | 4:45pm - 5:45pm

Parent Information

Full Name of Father

Phone

Email

Full Name of Mother

Phone

Email

Authorized Person for Pickup

Authorized Person for Pickup

Father

Mother

Other

Please Specify Authorized Pickup Person

Full Name and Relationship to the Child

Phone

Emergency Contact Number

Child’s Information

Child’s Full Name

Date of Birth

Residential Address

Residential Address

Any allergies or medical conditions?

Render consent to apply First Aid / Call 911 when required. (a life-threatening situation exists)

Add another child

Would you like to add another child?

Yes

No

Child’s Full Name

Date of Birth

Residential Address

Residential Address

Any allergies or medical conditions?

Render consent to apply First Aid / Call 911 when required. (a life-threatening situation exists)

Important Details

Permission to photograph the child and use pictures for social media/marketing

Yes

No

Confirmation of Enrollment

PLEASE READ CAREFULLY AND ACCEPT THE TERMS: I state that I have read, understood and accept the terms and condition of Fasttrack-Languages. This includes but it is not limited to the program information, the enrollment, the tuition, and the payment process, and the parent handbook. * Tuition may update from time to time. Please check rates at the time of enrollment. please proceed to payment after finishing filling the form to secure the spot in our classrooms.* The Fasttrack-Languages center is well childproofed and the children are consistently well supervised. However, accidents do happen. The undersigned(s) assume(s) all risk of injury to the child associated with participation in any program that our school offers.

I have read and agree to the terms of the Privacy Policy.