Registration Form

Registration Form

Spanish Programs for K-5
Parent Full Name

First NameLast Name
Parent Email
example@example.com
Parent Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Emergency Contact Full Name
Emergency Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Where did you hear about Vives Academy?
Child Information
Child Full Name

First NameLast Name
Birth Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Class
Would You Like to Register Another Child?
Child #2 Information
Child Full Name

First NameLast Name
Birth Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Class
Child #3 Information
Child Full Name

First NameLast Name
Birth Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Class
Child #4 Information
Child Full Name

First NameLast Name
Birth Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Class
Child 1 Flag
Child 2 Flag
Child 3 Flag
Child 4 Flag
Number of Children
Payment Total

USDTotal Payment Amount for All Classes Selected

The total payment amount is ${paymentTotal}. Cash payment can be made at the first class.
The total payment amount is ${paymentTotal}. We'll send you a message with the instuctions on how to pay via Venmo.
📘 Policies

At Vives Academy, we work closely with every family to make your experience smooth and flexible.
- You may cancel your session at any time — we’ll refund the prorated amount.
- We understand kids get sick or have school and sports conflicts. We’ll offer make-up classes when possible, depending on availability.
- Our goal is to create a positive, supportive learning environment where every child feels safe, encouraged, and valued.
📸 Photo & Video Release

As a new academy, we love sharing the excitement of learning! We occasionally take photos and short videos during classes and events to post on our social media pages so future families can see what Vives Academy is all about.
Please select one
Should be Empty:

Child Information