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Is the class for you or a child?
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You
Child
Student Name
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First
Last
Phone
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Email
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Parent Name
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First
Last
Parent Phone
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Parent Email
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Address
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Address Line 1
Address Line 2
City
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State
Zip Code
Preferred Choice of Communication
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Text
Email
Both
Class Preferences
Language of Interest
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Spanish
French
Italian
Chinese
Korean
Arabic
German
Russian
Japanese
Portuguese
Your Current Knowledge
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Beginner
Intermediate
Advanced
Class Type
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Private
Group
Class Attendance
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In-Person
Zoom/Virtual
No Preference
Class Attendance (Preference)
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Private (5 Classes- $250)
Private (10 Classes -$475)
Group (10 Classes -$300)
Preferred Days/times
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Morning
Afternoon
Evening
Goals/Objectives of Lesson Plans
Reasons and Goals for Your Pursuit
Multiple Choice
First Choice
Second Choice
Third Choice
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