Registration Form
Please fill in the form below.
First name / Nombre
*
Last name / Apellido
*
E-mail / Correo electronico
*
Skype ID
*
Phone Number / Numero de telefono
*
Country / Pais
Class start date / Fecha de inicio de clases
-
Month
-
Day
Year
Date Picker Icon
Type of class / Tipo de clase
Please Select
Private class / clases particulares
Group Classes / clases de grupo
Class time / Horario de clase
Please Select
Morning / Mañana
Afternoon / Tarde
Evening / Noche
Choose a product
*
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Registration Fee
$
25.00
Private Class 10 Pack
$
250.00
Monthly Group Class
$
100.00
1 Private Class
$
30.00
Private Class 5 Pack
$
130.00
Subtotal
$
0.00
Tax
$
0.00
Total
$
0.00
Submit Form
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