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Parent/Guardian Information

Parent/Guardian #1

Name (First and Last)

Phone Number

Address (Street, City, State, ZIP)

Parent/Guardian #2

Name (First and Last)

Phone Number

Address (Street, City, State, ZIP)

Student Information

First Name

Last Name

Birth Date

School Attending

Grade in 2022-2023 School year

Does the student have any allergies or medical conditions that the teacher needs to recognize?

Epi Pen?

Yes

Primary Emergency Contact During Class Time

Name

Relationship To Child

Phone Number

Permission

Do I have permission to photograph your student?

Yes

Do I have permission to use your child’s photograph in future promotional materials?

Yes

Click below to read the Services Agreement/Waiver

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Your Signature: By signing below you acknowledge you have read the Services Agreement/Waiver and you are signing as the Parent/Guardian or "Client" in the Services Agreement/Waiver. You understand there will be no refunds after class begins. *

Select a Course

Discover Spanish Tuesdays 4:00 Session 1 - $115

Discover Spanish Tuesdays 4:00 Session 1 and 2 - $210

Discover Spanish Wednesdays 4:15 Session 1 - $115

Discover Spanish Wednesdays 4:15 Session 1 and 2 - $210

Homeschool Elementary Session 1 - $72

Homeschool Elementary Session 1 and 2 - $144

BNGATORS Discover Spanish - $103.50

BNGATORS Discover Spanish both sessions - $189

Inglés para niños - $76

registration for "session 2 only" will begin in October.

All registrants for BNGATORS classes will be contacted via email to designate class time and day.

There will be no refunds once class begins.
All refunds will be minus a 5% processing fee.

Youth Sign Up

TTerms and Conditions

Phone: 309-531-3738

Email: thelanguagespotbn@gmail.com

1703 Clearwater Ave., Suite 105 Bloomington, IL

Privacy

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Parent/Guardian Information

Parent/Guardian #1

Parent/Guardian #2

Student Information

Primary Emergency Contact During Class Time

Permission

Click below to read the Services Agreement/Waiver

Your Signature: By signing below you acknowledge you have read the Services Agreement/Waiver and you are signing as the Parent/Guardian or "Client" in the Services Agreement/Waiver. You understand there will be no refunds after class begins. *

registration for "session 2 only" will begin in October.

All registrants for BNGATORS classes will be contacted via email to designate class time and day.

*There will be no refunds once class begins. *All refunds will be minus a 5% processing fee.

Youth Sign Up

There will be no refunds once class begins.
All refunds will be minus a 5% processing fee.