Spanish Language Center :: Registration

registration

Private Class Registration Form

Student Info

Last Name

First Name

Address 1

Address 2

City

State:

Zipcode

Phone 1

Home Work Cell

Phone 2

Home Work Cell

Email Address

Occupation

Class will take place at this location

At which of our Chicago locations do you prefer to take your classes? Or do you prefer onsite? Please mark your preference.

*If onsite, tell us where:

NOTE: Onsite classes may require an additional (but reasonable) fee for our instructor's traveling time. We will let you know if this fee is required.

Preferred Starting Day, Date and Time

Please include a first and second option of day of the week, date (month, day number) and preferred time. We will confirm availability after registration.

1st Choice:

, at

2nd Choice:

, at

Class Tuition

Please choose tuition info from only one of the following columns and select the corresponding amount:

Downtown, Lakeview and Palatine

Tuition:

6 hours for $330.00

12 hours for $540.00 (18% discount)

24 hours for $960.00 (27% discount)

Your Payment Info

Please enter the information here:

Card Type:

Card #:

Expiration Date: [mmyy]

Billing Zipcode:

Policies about your Class and Registration

Please carefully read the following:

Policies: Privacy, Refunds, Returns & Attendance (click here)
I accept the Policies: Privacy, Refunds, Returns & Attendance:

By clicking submit I accept the above terms and authorize the Spanish Language Center to charge my credit card for the amount marked above.

Spanish Language Center