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Register for classes via email, mail or fax!
Cut and paste registration
form and email to mbeitz6776@aol.com
OR
Mail form to:
401 W. State St. Geneva, IL. 60134
OR
Print and Fax form to: 630-578-0948
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Registration form for Geneva School
401 W. State St.
Geneva, IL. 60134
630-377-8794 Fax: 630-578-0948 |
Please complete one form per student |
*Pro-rated tuition
If you know in advance that your child will be absent due to a scheduled vacation or appointment, please list these dates on your enrollment form. We will pro-rate the tuition for these dates, provided they are listed in advance on your enrollment form.
*Absences/Make-Ups
Please call if your child is sick and going to be absent.
We will do our best to schedule make-ups within the same session,
on a space available basis. Unfortunately, we are not able to credit
or refund for missed classes.
fall '08/spring '09 program
I am registering for the _____________________class on ________________ from ______-______.
(Class) (day(s) of week) (time)
I am registering for fall only______________
I am registering for fall and spring_________
Register by Fax: Fax registration and credit card information to 630-578-0948.
Register by Mail: Mail completed form and payment to 401 State St. Geneva, IL. 60134
Please complete one form for each student. Make check payable to: Foreign Language Network.
Name of Student:________________________________________________Age:______________
Parent name:_____________________________________________________________________
Street:_________________________________________City___________________Zip________
Home phone:_________________________Cell phone:__________________________________
Emergency contact:_________________________________Phone:_________________________
Email address:____________________________________________________________________
We will confirm your registration via email. Email addresses are kept confidential.
AutoPay (tuition is broken down into equal monthly payments) I would like to sign up for AutoPay and have my credit card charged on the 1st of each month. I understand that in order to cancel Autopayment, I must call the billing center at 630-377-8794 before the 1st day of the month.
_____________________________________________
(signature)
credit card information is kept confidential and only viewed by company owner.
Credit Card Payment Visa:____ Mastercard:_____
Cardholder:______________________Card number:______________________Exp. date: _______
Signature:___________________________________________Amount:____________or Autopay
Security Code (the three digit code on the back of your card) ______________________
Although Language Leaders is not a religious organization, Christian principles and holidays are taught and celebrated.
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