Request a Free Preview Class - Fun With Foreign Language

How many children are visiting? *

1 child

2 or more children

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

Child Name *

Age *

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

Location *

Towson, Good Shepherd School

Which class date and time would you like to visit? *

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

Child 2 Name *

Child 2 Age *

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

Location Child 2 *

Towson, Good Shepherd School

Which class date and time would you like Child 2 to visit? *

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

Parent(s)/Guardian(s) Name *

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.

If scheduling a class for more than two children, please submit an additional form.

Signature *

Date *

Liability Agreement

Liability Agreement: I agree that I will not hold a faculty member or an employee of Fun with Foreign Language (FwFL) liable for injuries sustained or for illnesses contracted by me/my child/my children while a student/participant at FwFL. I agree to indemnify FwFL and its faculty for all liabilities, costs, and judgements arising for acts of omissions of the undersigned, which result in injury or damage to any person or party . I further agree that I will not hold FwFL or any faculty member responsible for the loss or damage of personal property during participation.

I have read and understand the policies above and waive all claims of liability.

Signature *

Date *

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