BILINGUAL CHATTERBUGS
Italian Immersion for children 4-8 years at Simply Gather 29 NELSON AVENUE
Child’s Name
*
First Name
Last Name
DOB
-
Month
-
Day
Year
Date
Parent/ Guardian Name
First Name
Last Name
Emergency Contact
*
E-mail
example@example.com
Payment type
*
Please Select
Zelle
Venmo
Cash
LEVEL OF PROFICIENCY OF CHILD
Please Select
BEGINNER (knows and understands some words)
INTERMEDIATE (knows and understands many words, may understand more than speak)
PROFICIENT ( understands and speaks language fluently)
Submit
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