Spanish Classes Registration Form

Spanish Classes Registration Form

Let your kids discover the wonderful world of Spanish!
Student Information
Full Name*

First NameLast Name
Date of Birth*

MonthDayYear
MM/DD/YYYY
MaleFemaleN/A
Parent/Guardian Information
Full Name*

First NameLast Name
Relationship to Student*
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Emergency Contact Information
Full Name*

First NameLast Name
Relationship to Student*
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Class Schedule

Please select the desired class(es) from the list below:
Tuesdays (9:30am - 10:15am) 📍Powerhouse Dance Studio
Tuesdays (10:30am - 11:15am) 📍Powerhouse Dance Studio
Tuesdays (11:30am - 12:15am) 📍Powerhouse Dance Studio
Wednesdays (9:30am - 10:15am) 📍Powerhouse Dance Studio
Wednesdays (9:30am - 10:15am) 📍Powerhouse Dance Studio
Wednesdays (10:30am - 11:15am) 📍Powerhouse Dance Studio
Thursdays (12:30pm - 1:15pm) 📍Powerhouse Dance Studio
Policy Agreements
Do you authorize Mini Mundo Spanish Academy to take and use photos and/or videos of your child for marketing, social media, website and internal use? *
Liability Waiver and Release Form
I, the undersigned parent/guardian of   First Name*   Last Name*   (child’s name), acknowledge and accept that participation in Mini Mundo Spanish Academy programs involves certain risks. I hereby release, waive and discharge Mini Mundo Spanish Academy, its instructors, staff and volunteers from any and all liability, claims, or demands arising from any injury, illness, or damage to property that may occur while my child is participating in classes or activities organized by the Academy.

I understand that all reasonable precautions will be taken to ensure the safety and well-being of all participants. In the event of a medical emergency, I authorize the staff of Mini Mundo Spanish Academy to seek appropriate medical attention for my child.

Parent/Guardian Name:
First Name*   Last Name*
Signature:
Signature*
Date:
Date*
How did you hear about us?
Should be Empty:

Spanish Classes Registration Form

Student Information

Parent/Guardian Information

Emergency Contact Information

Class Schedule

Policy Agreements