enrollment form
after submitting this form, please proceed to payment to complete enrollment.
If you’re enrolling more than one child please add to the cart as many sessions as needed per each child.
Parent Full Name
Phone
Email
parent Full Name
Phone
Email
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
Child #2 Full Name
Child #2 Date of Birth
Child #2 age
allergies
Primary doctor
Phone
Additional questions, notes or medical conditions
Select the class you would like to try: Please note that this is a class for new students to try the class, it is not part of the curriculum and it can not be added for current students
Reading & Writing Mondays 3:45pm – 4:45pm
Math Mondays 4:45pm – 5:45pm
Reading & Writing Wednesdays 3:45pm – 4:45pm
Math Wednesdays 3:45pm – 4:45pm
Reading & Writing Thursdays 3:45pm – 4:45pm
Math Thursdays 3:45pm – 4:45pm
1 hour Spanish immersion, Wednesdays 4:45pm – 5:45pm
1 hour Spanish immersion, Thursdays 3:45pm – 4:45pm
1 hour Italian immersion, Mondays 3:45pm – 4:45pm
1 hour French immersion, Thursdays 3:45pm – 4:45pm
1 hour yoga & gym fusion Thursdays 4:45pm - 5:45pm
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, and the payment process, and the parent handbook. 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/
Proceed to Payment