Registration Form

ADULT CLASSES 2022/23

Below please find the Enrollment Form, Program Description, Program Policies, Parent or Guardian Release, and Media Release Exception Form, to be read in their entirety. Participants, parents and guardians, please fill out the following information and submit to send this form to Deutsche Sprachschulen Colorado (DSS Colorado). This form is required to participate in the language program. The form MUST BE COMPLETE.
Enrollment Information
Enrollment Period*

Fall Semester In-Person ClassFall Semester Online ClassSpring Semester In-Person ClassSpring Semester Online ClassFull Year In-Person ClassFull Year Online ClassPrivate Lessons
Participant's Name*

First NameLast Name
Level*
New Beginner please specify day of class!
Participant's Name

First NameLast Name
Birth Date

MonthDayYear
Daytime Phone*

Area CodePhone Number
Evening Phone

Area CodePhone Number
Cell Phone*

Area CodePhone Number
E-mail*
Home Address (Street, City, Zip Code)*
Mailing Address (Street, City, Zip Code)*
Additional Comments

Emergency Contact
Does you have health insurance?

YesNo
Insurance Company
Policy #
Family Doctor Name
Phone Number
Preferred Hospital
In case of emergency, please notify:
Relationship to participant
Phone Number(s)
Please list any current medications, medical conditions, recent injuries, and food or drug allergies:*

Program Description
The DSS Colorado Language Immersion Program is a full immersion language program for children and adults.

The DSS Colorado Language Immersion Program mission is to provide German programs to the Denver and Colorado Springs communities.

CLASSES OFFERED:

DSS Colorado offers a variety of German specific courses for children as well as summer camps for children. Please see our website: www.dsscolo.org for specific classes and schedule.

For more info, contact…

Deutsche Sprachschulen Colorado

www.dsscolo.org

Phone: 720-272-0971/720-625-9152

Website: www.dsscolo.org
Program Policies
ENROLLMENT:

• A completed Enrollment Information Form and a signed Parent or Guardian Release Form must be returned to Deutsche Sprachschulen Colorado to enroll.

. Private lessons are billed monthly and 4 sessions in advance. Lessons need to be canceled 24 hrs prior to avoid charges.

• Enrollment is on a first come, first serve basis and is limited in some of our programs. We will establish a waiting list for programs that exceed capacity.

• Participants will be contacted by our Program Director to confirm your enrollment in the program.

. Semester includes 1 snowday. Any additional canceled day due to weather will be made up at the end of the semester.

• The organization admits students of any race, color, national origin, and ethnic origin to all the rights, privileges, programs, and activities generally accorded or made available to students at the school. It does not discriminate on the basis of race, color, national origin, and ethnic origin in administration of its educational policies, admission policies, scholarship and loan programs, and athletic and other school-administered programs.

ATTENDANCE:

• None of our classes are offered on a drop-in basis.

• We do not offer make-up sessions on an individual basis. Participants may attend another scheduled class with prior approval from the Program Director.

• Make-up sessions are available only when class is cancelled or if the school needs to reschedule a class.

• DSS Colorado shall not provide refunds for unattended or withdrawl from classes.

FOLLOW PROGRAM RULES POLICIES:

• Participants are expected to show and display respect and cooperation with all program staff, instructors, volunteers, and participants at all times.

• Arrive On-Time: All participants are expected to arrive on time. You will need to let the teacher know if you plan to arrive late or leave early during any of the sessions.

PARTICIPANTS:

• Please keep us updated with your current mailing address and phone numbers at all times so that we may contact you as needed.

• We would love for you to visit and volunteer as much as possible and are allowed access to the program at all times. Please check in with the Program Director/Teacher when you visit or if you want to volunteer. Participants are not permitted to have guests or visitors unless previously communicated by the parent/guardian and agreed upon with the Program Director.

• We encourage participants to interact with to the Program Staff and ask questions or provide feedback.

CONSEQUENCES:

• DSS Colorado has a discipline policy that gives positive guidance, allows for redirection, and sets clear behavior limits. The discipline policy has been designed to assist participants and staff in developing self-control, self-respect, respect for others, and consideration for the rights and property of others.

• Participants that do not follow the above listed requirements and policies may receive, a phone call home, suspension from the program, or they may be dropped from the program. It is our intent to work closely with parents/guardians to resolve any recurring discipline issues.

PARTICIPANT TERMINATION POLICY:

• Participants will forfeit their space in the program for any of the following reasons:

o Behavior that threatens physical or emotional safety of others;

o Consistent disruptive behavior; and

o Three continuous absences without prior arrangements with the Program Director.

LATE START REGISTRATION:

o If admitted during the first four sessions of any semester, tuition in full is due on a semester or annual basis. The semester tuition will be prorated if a student is enrolled during or after the 5th class session. Tuition will be owed for the entire balance of a semester and refunds will not be given for absences. A registration fee of $40.00 per semester and a material/book fee will be added to the cost of the class. The registration fee and materials/book fee cannot be prorated.

COLLECTION POLICY AND CHARGES:

o Registration, Tuition, Fees, and Costs shall be paid prior to attendance by any enrolled student, unless other payment arrangements have been made in writing with the Program Director.

o DSS Colorado will charge a late fee of $75.00 per student per semester if payment is made after the completion of the second session of a semester.

o If collection efforts become necessary on any outstanding balances, DSS Colorado will be entitled to the late fee, costs of collection, including reasonable attorney fees, and such balances shall be subject to an interest charge at the rate of eighteen percent (18%) annually, compounding monthly.

ADDRESS/PHONE NUMBER CHANGES:

o Please keep DSS Colorado up-dated with any address or phone number changes for your home or work. It is critical to have accurate information for notices and in case of a necessary emergency contact.
Electronic Signature
Please type First and Last Name of Participant (if over 18)*
Date*

MonthDayYear
Date
*

I understand that checking this box constitutes a legal signature confirming that I acknowledge and agree to the above PROGRAM POLICIES

Participant Release
Participants, please read carefully, sign, and return this form to Deutsche Sprachschulen Colorado. A participant signature on this form is required to participate in any of our programs.

For Emergency Treatment

I authorize DEUTSCHE SPRACHSCHULEN COLORADO to arrange for transportation in case of accident or acute illness of the participant. In the event it is not possible to receive instruction for the participant’s care, consent is given to any licensed physician for treatment. I allow the physician to administer medication and to perform necessary treatment for the preservation of the participant’s health and well-being. I understand that any cost incurred for treatment of sudden illness or accident shall be paid by me. This authorization and consent for treatment is given to DEUTSCHE SPRACHSCHULEN COLORADO in conjunction with any authorized event.

General Release of Liability

In consideration for being allowed participant privileges in any program of DEUTSCHE SPRACHSCHULEN COLORADO, I hereby assume full responsibility for any risk of bodily injury, death, or property damage and/or while using the premises or any facilities or equipment hereon. I further agree to hold harmless the DEUTSCHE SPRACHSCHULEN COLORADO and its partners, directors, officers, employees, agents, and volunteers from any and all claims that may result from any action for damages, including but not limited, to such claims that may result from injury or death, accident or otherwise, during or arising in any way from said activity. I acknowledge that this General Release of Liability of DEUTSCHE SPRACHSCHULEN COLORADO and its partners is binding on me and not my heirs, personal representatives, successors, and assigns.

Field Trips

DEUTSCHE SPRACHSCHULEN COLORADO will take short field trips on occasion that are within the program community. While taking part in these community field trips I release DEUTSCHE SPRACHSCHULEN COLORADO from responsibility for any risk of bodily injury, death, or property damage as covered in the "General Release of Liability."

Media Release

I hereby consent to the use of my name, likeness and speech in any audio tape, video tape, film or photograph made in any DEUTSCHE SPRACHSCHULEN COLORADO activity for the business or publicity purposes of the DEUTSCHE SPRACHSCHULEN COLORADO and its partners. I understand that any participation offers no remuneration and that my name, likeness and speech may be edited, produced, recorded for duplication and distribution throughout the United Sates and abroad. I expressly release DEUTSCHE SPRACHSCHULEN COLORADO and its licensees, assignees, affiliates and successors from any privacy, defamation, or other claims have arising out of broadcast, exhibition, publication, or promotion of this program. Please sign the Media Release Exception Form if you do not agree to the media release. PLEASE SIGN BELOW AS REQUIREMENT TO PARTICIPATE IN ANY Of OUR PROGRAMS.
Name*

First NameLast Name
Date*

MonthDayYear
Date
*

I understand that checking this box constitutes a legal signature confirming that I acknowledge and agree to the above PARTICIPANT RELEASE

Media Release Exception Form
I do not consent to the use of my name, likeness and speech in any audio tape, video tape, film or photograph made in any DEUTSCHE SPRACHSCHULEN COLORADO activity for the business or publicity purposes of the DEUTSCHE SPRACHSCHULEN COLORADOand its partners. I understand that any participation offers no remuneration and that my name, likeness and speech may be edited, produced, recorded for duplication and distribution throughout the United Sates and abroad.
Electronic Signature Please type First and Last Name of Participant (if over 18)
I understand that checking this box constitutes a legal signature confirming that I acknowledge and agree to the above MEDIA RELEASE EXCEPTION FORM
Date

MonthDayYear
In order to complete your registration and be guaranteed a spot in the class, you are required to pay the registration fee. You can also pay for the course tuition in advance. Should you choose to not pay for the course tuition at the time fo registration, you will be required to provide payment before the beginning of the first class.

All payments are processed securely via PayPal.
Online Payment*
prevnext( X )
Registration Fee click on + to add additional participant tuition)$40.00

Adult Class 1.5 hour In-Person$250.00

Adult Class (1.15hr) Monday Conversation In-Person only!$205.00

Textbook$28.00

Adult Class 1.5 hour Online$275.00

Adult Class (1.15hr) Monday Conversation Online only!$225.00

Total $0.00
Enter the message as it's shown*
By clicking the SUBMIT button below your form will be transmitted securely with a 256 bit High-grade encryption.
Should be Empty:

ADULT CLASSES 2022/23

Enrollment Information

Emergency Contact

Program Description

Program Policies

Participant Release

Media Release Exception Form