GPSSD School Year 2022/23 SEMESTER TWO - ADULT Registration Form

2022/23 ADULT Registration for Semester TWO- online

German Pacific School San Diego
ADULT STUDENT INFORMATION
Student Name*

First NameLast Name
Birth Date*

MonthDayYear
Date
Address*
Cell Phone*

Area CodePhone Number
Email*
example@example.com
Returning Student?*

YesNo/new
If returning, most recent class/level enrolled:
Please rate your German speaking skills*
RELEASE FOR MEDIA/PUBLIC RELATIONS

Occasionally our staff may take pictures of our students in their activities. We occasionally use these pictures in our promotional and PR materials. The release below allows us to use your picture for such purposes.
CLASS SELECTION AND PAYMENT
Please note:
- Tuition for adult classes is per semester (15 classes).
- A $30 non-refundable registration fee is due at the time of registration and added to the tution amount.
- Tuition does include any material and text-/workbook fees needed for class.
Withdrawal and Refund Policy 2022/23
- Withdrawal requests have to be made in writing to the school.
- No tuition refund after 2nd week of class.
- Registration fee is non-refundable.
Please note: GPSSD reserves the right to cancel classes if minimum enrollment is not met. In that case, a full refund will be provided.
By signing electronically, I acknowledge that I have read and understand the withdrawal and refund policy.
Electronic Signature of Registration:*
First and Last Name
Please let us know...
How did you hear about us and our German language program?*
Select your class:
prevnext( X )
#4 Adult Advanced Beginner/Intermediate; Semester Class$575.00
Online - Tuesdays 6:00PM-8:00PM

#10 Adult Beginner, Semester Class$575.00
Online - Thursdays, 6:00PM-8:00PM

Student Registration Fee$30.00

Total $0.00
Please select your payment method below.

The registration form will be submitted with the payment processing and a copy will be emailed to you.

Payment Methods

Debit or Credit Card

First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Please click one of the PayPal options to complete payment and submit the form.

Should be Empty:

2022/23 ADULT Registration for Semester TWO- online

ADULT STUDENT INFORMATION

RELEASE FOR MEDIA/PUBLIC RELATIONS

CLASS SELECTION AND PAYMENT

Please let us know...