Arabic Kids Online Program || Spring Registration Form '21
Siblings discount: CODE: SIBLING2021 {Fill out the form carefully for registration } FOR HELP: ARABIC SPEAKER:832-888-1848 || ENGLISH SPEAKER: 832-873-6451
Student Name 1:
*
First Name
Middle Name
Last Name
student 1 Age:
Student 1 Gender:
*
MALE
FEMALE
Student 1 Level
*
Level 1
Student Name 2:
First Name
Middle Name
Last Name
Student 2 Gender:
MALE
FEMALE
Student 2 Age:
Student 2 Level:
Level 1
Fathers Full Name
*
First Name
Middle Name
Last Name
Fathers Phone Number
*
Mothers Full Name
*
First Name
Middle Name
Last Name
Mothers Phone Number
*
Parents Email Address:
*
example@example.com
I agree the appearance of my child will be presented online through a virtually class & occasionally on social media.
*
YES
KIDS MOTHER TONGUE LANGUAGE?
*
How did you hear about us
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
My Products
*
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student 1
FULL SPRING SEMESTER + Registration FEE nonrefundable
$
350.00
Siblings
2 siblings (students) Full spring semester + Registration FEE nonrefundable COUPON CODE MAY BE USED***
$
600.00
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