German Language School Summer 2021 Children Online Class

Student & Enrollment Information
This form is for an online summer option via Zoom for all locations. Classes will begin on June 16th and go for 6 weeks. Each class is 90 minutes with a brief break.

Tuition for the 6-week series is $120.00 for all levels.

Classes will start at 6:00 pm with the exception of the DSD II class which will start at 7:45 pm.
Parent/Guardian Information
Are you a teacher at the school?*

YesNo
Are you registering your child for an online summer class?
What is your teacher ID number?*
Name*

First NameLast Name
What is your relationship to the student*

ParentGuardianOther
Email*
example@example.com
Phone Number*

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Student Information
What level are you enrolling your child for?

Beginners Ages 6 & UpGruppen 1-2Gruppen 3 - 4Gruppen 5-8DSD IDSD II
Student First Name*
Student Last Name*
Student Date of Birth*

MonthDayYear
Email (if applicable)
example@example.com
Payment Information
Online payment is optional. If paying by check, the check must be received within a week of your registration submission. Please note the total of each form if sending funds via check to ensure you send the correct amount for your household.

Checks should be made payable to the German Language School Cleveland.

To pay by credit card enter your total and complete the credit card information form.
Payment Submission*

I will submit payment via credit using the form belowI will submit my payment via check to be received within 10 days.
Tuition
Teacher Adjustment
Total due

Amount you would like to pay.

USDDescription

Credit Card

Registration Policies

The tuition includes all teaching materials/handouts. Please note that $25.00 of your tuition payment represents a non-refundable registration fee.
Acknowledgement*

I acknowledge I have read and agreed all the policies, procedures, and commitments described in this enrollment.
Acknowledgement*

I acknowledge the video/audio policy
Click here for the video/audio policy.
Signature
Print your name
How did you hear about us?
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Student & Enrollment Information

Parent/Guardian Information

Student Information

Payment Information

Credit Card

Registration Policies