Application

after submitting this form, a confirmation message will be sent to your email with the and will be redirected to the tuition payment links. you may add mor than one class to the cart.

If you’re enrolling more than one child please fill out as many forms as the number of kids attending the school.

Parent Full Name

Phone

parent Full Name

Phone

Child Physical Address

Pick up authorized person (please select multiple if more than one)

Mother Father Other

Pick up authorized person (if selected other)(may be more than 1)

Emergency contact other than parents

Emergency contact phone number

Child Full Name

Child Date of Birth

Child’s age

allergies

Primary doctor

Phone

Additional questions, notes or medical conditions

desired starting date

select the program you woul like to join (you can select more than one)

1 hour class a week after school (reading, writing, math) 2 hour class a week after school (reading, writing, math) 1 hour class a week after school (Spanish immersion, Wednesday 4:45pm – 5:45pm) 1 hour class a week after school (Spanish immersion, Thursday 3:45pm – 4:45pm) 1 hour class a week after school (Italian immersion, Tuesday 3:45pm – 4:45pm) 1 hour yoga class (Tuesdays 4:45 pm - 5:45pm for 7 - 10 y/o) 1 hour yoga class (Thursdays 4:45pm - 5:45pm for 5 - 11 y/o) unlimited promo gym & yoga ( Thursdays & Fridays 4:45pm - 5:45pm) after school pick up with care talk’n tots (Monday 3:00pm - 4:00pm)

if the selected program is reading, writing and math, Please Select the day your child will be joining us. (select multiple if the purchased program is for more than one day)

Monday 3:45pm – 4:45pm Monday 4:45pm – 5:45pm Monday 5:45pm – 6:45pm Tuesday 5:45pm – 6:45pm Wednesday 3:45pm – 4:45pm Wednesday 5:45pm – 6:45pm Thursday 5:45pm – 6:45pm Friday 3:45pm – 4:45pm Friday 4:45pm – 5:45pm Friday 5:45pm – 6:45pm

if your child will be joining the after school pick up with care please make sure the school has been notified and write bellow the school your child will be picked up from

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

yes no

IMPORTANT: PLEASE READ CAREFULLY ALL THE INFORMATION OFFERED ABOUT THE PROGRAM. THIS INCLUDES: THE TUITION, THE ENROLLMENT AND PAYMENT PROCESS .

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, the payment process, and the parent handbook. Fasttrack Languages is not responsible for any automatic payments of tuition as is the customer's responsibility to let the school know 60 days ahead to stop the chargers (all tuitions can also be managed by the customer from their online account). 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.If you haven't read the full Terms and Conditions of our school, and Parent Handbook please follow this link: https://www.fasttrack-languages.com/privacypolicy/

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