Chamitos Spanish Program | Registration Form

Important

By checking the box below, my child has permission to participate in Chamitos Spanish Program. I am aware that unless I give written notice, this form gives the Teacher permission to take my child to class each week and I had read and agreed on the rates and policies of Cahmitos program.

Permission*

Yes
No

Child's Name*

FirstLast

Age*

Date of Birth*

Gender*

Boy
Girl

Parent Info

Name*

FirstLast

Address*

Street AddressAddress Line 2CityState / Province / RegionZip / Postal CodeCountry

Home phone number*

Cell Phone*

Email*

Just for class updates and direct communication with the parents

Location where the Spanish Class will be take

Name of center*

Level*

Days Your Child attends*

How did you hear about Chamitos?*

Referral name

FirstLast

Comments

By register my child I give permission to Chamitos for the use of class photos/videos of my child for promotional or advertising purposes without compensation, no children’s name to be used.

Registration Form

Important

Parent Info

Location where the Spanish Class will be take

About Chamitos

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