Student Information

How many children are you registering? *

1 child

2 or more children

*If registering more than 2 children, please complete and submit form for each additional child.

New Student or Returning? *

New Student

Returning

Child Name *

Birthdate *

Age (Session Start) *

Session *

Language *

Spanish

Mandarin Chinese

Age Group *

Parent/Toddler 2-3 years

3-5 years Kids Only

5-8 years Kids Only

8-10 yearsKids Only

Class day of week and time *

Location *

Towson, Good Shepherd School

Any medical conditions of the child that we should be aware of? If none, please write none. *

Please use this space to tell us what activities your child enjoys/does not enjoy doing.

Photo Permission *

Yes

Do you authorize the use of images of your child to be used on the FwFL website, FB, or other online outlets or in printed materials? Additional permission to include child's name will be obtained when applicable

Video Permission *

Yes

Do you authorize the use of video of your child to be used for FwFL teacher training purposes? Please note...If a promotional video is being done, you will be asked to sign a separate permission form granting permission to use image or video of your child

Child 2 Name *

New Student or Returning Child 2 *

New Student

Returning

Session for Child 2 *

Birthdate Child 2 *

Child 2 Age (Session Start) *

Language Child 2 *

Spanish

Mandarin Chinese

Age Group Child 2 *

Parent/Toddler 2-3 years

3-5 years Kids Only

5-8 years Kids Only

8-10 yearsKids Only

Class day of week and time Child 2 *

Location Child 2 *

Towson, Good Shepherd School

Child 2: Any medical conditions of the child that we should be aware of? If none, please write none. *

Child 2: Please use this space to tell us what activities your child enjoys/does not enjoy doing.

Photo Permission Child 2

Yes

Video Permission Child 2 *

Yes

Do you authorize the use of video of your child to be used only for FwFL teacher training purposes? Please note...If a promotional video is being done, you will be asked to sign a separate permission form granting permission to use image or video of your child

Parent Information

Parent(s)/Guardian(s) Name *

Address *

Country

City

State

Zip code

Mobile Number *

Alternate Number *

Email--please provide an address that is checked often. *

How did you hear about us? If you were referred, please list referrer's name.

Username and Password

Create Username and Password

If you have not already done so, please create a login by registering your account This login will provide you with access to the Current Families section of the website which has the class lesson’s activity sheets and audio, pronunciation guides, as well as other useful information. After your payment is received, your account registration will be approved and you will have access to Current Families.

Help To Promote Our Program

Enrolling More Than 2 Children

If enrolling more than two children, please submit another form for each additional sibling. If parent(s)/guardian(s) information is the same for additional sibling please note same.

Liability Agreement/Review of Policies

Signature *

Date

Signature *

Date

Payment Options

Please choose a payment option *

Plan A:the entire session must be paid in full prior to the start of the session. There will no credits provided for missed classes.

Plan B: pay per class prior to each class. Kids only classes: $32 + $20 annual registration fee (registration fee is paid only once) Parent/Toddler classes: $29 + $20 annual registration fee (registration fee is paid only once)

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New Student Registration