Welcome to our Foreign Language Class Inquiry Form

Is the class for you or a child?

Student Name

First

Last

Student Phone

Please use your phone number if your student is a child and does not have a phone.

Student Age

Student Gender

Student Email

Please use your email if your student is a child and does not have an email address.

Parent Name

First

Last

Parent Phone

Parent Email

Student Occupation

Please tell us about your professional background

Address

Address Line 1

Address Line 2

City

State

Zip Code

Preferred Choice of Communication

Language of Interest

Your Current Knowledge

Class Type

Other Class Members

Please list the members with whom you would like to have a group class

Class Attendance

Class Type (Preference)

Preferred Days/times

Frequency of Classes Requested

When are you able to begin classes?

Goals/Objectives for studying the language

Please add any additional information you would like us to know.