Online Enrollment Form

For your registration to be successful, please complete this form once per each child.

Parent 1 Full Name

Phone

Parent 2 Full Name

Phone

Physical Address

1st Child Name

1st Child Age

1st Child Date of Birth

2nd Child Name

2nd Child Age

2nd Child Date of Birth

3rd Child Name

3rd Child Age

3rd Child Date of Birth

Please Select the day and time your child will be joining us. (select multiple if the purchased program is for more than one session).

Monday 3:30 pm to 4:15 pm: Reading, Writing & Math Monday 4:30 pm to 5:15 pm: Spanish Immersion Thursday 3:30 pm to 4:15 pm: Reading, Writing & Math Thursday 4:30 pm to 5:15 pm: Spanish Immersion Friday 3:30 pm to 4:15 pm: Reading, Writing & Math Friday 4:30 pm to 5:15 pm: Spanish Immersion Saturday 10:30 am to 11:15 am: Reading, Writing & Math Saturday 11:30 am to 12:15 pm: Spanish Immersion

Accept Terms

Please sign the waiver below. The waiver and liability must be signed to have a valid registration. 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 including online Sessions, Summer Programs, Spring Programs, Reading, Writing, Math, Toddler Program, Gymnastics, Movement, Spanish, Italian, French and Mandarin and agree(s) to release, indemnify, defend and forever discharge Fasttrack-Languages and it's staff, employees, of and from all liability, claims, demands, damages, costs, expenses, actions and causes of action in respect of injury to the child, or by the child, howsoever caused, arising or to arise by reason of or during the child's participation in any of the classes of the school program.