After-school Spanish classes at Irvington

Registration Form - Spanish classes at Irvington

Student 1: Name *

First & Last Name

Age *

Grade *

Teacher *

Student 2: Name

First & Last Name

Age

Grade

Teacher

Class for Student 1 *

Please select the class you want to enroll your child.

Class for Student 2

Please select the class you want to enroll your child.

Parent/ Guardian Name(s) *

Email Address: *

Phone (Alternative):

Phone (Best): *

Street *

City *

State *

Zip *

Other person authorized to pick up student after class:

Relation:

After class, student will: *

participate in IED

be picked up by parent or person named above

walk home

Do you have any comments about your child's learning style or experience learning Spanish?

Please list any relevant medical conditions or special needs your child has:

Will you apply for a scholarship? *

Yes

COURSE POLICIES

Refund Policy:
Your payment is refundable only with notice of a minimum of 7 calendar days before the start date of the class. After-school classes have a minimum of 8 students; in the event that there are not enough students enrolled to hold the class, you will receive a full refund.

Severe Weather Policy:
Tierra will cancel classes when PPS and local colleges decide to close due to inclement weather. In this event, we will post a closure notice on our website and will make every effort to contact all students affected. There will be no refunds or pro-rated discounts or credits for cancellations due to weather. We will do our best to schedule a make-up class, however because of schedule constraints, this cannot be guaranteed - we appreciate your understanding.

Photo Policy:
Tierra reserves the right to take photos of children's classes and to use these photos on our website and in promotional materials. If you have any questions or concerns about this policy, please let us know.

Absence Policy:
After-school Spanish classes cannot be made up; however, please notify Tierra at (503) 2133677 or info@tierracenter.com if your child has to miss a class. This notice allows the teacher to better prepare for the class, and assures us that your child is safe.

CONSENT AND LIABILITY RELEASE

I, the undersigned being the lawful parent or guardian of the above declared child, hereby consent to the participation
by the child in the Tierra Educational Center After-school Spanish Class (“program”) at Irvington School.

The undersigned hereby further releases and holds harmless Tierra Educational Center LLC, and its owners, directors,
officers, advisors, employees, agents, instructors, volunteers and all other persons or entities acting for them from any
and all claims, demands, suits, cost and charges, arising out of or in any way connected with her/his participation in this
program, including but not limited to, personal injury, bodily harm, injury, or property damage occurring while
participating in the program’s activities.

Acceptance *

I have read and agree with the course policies and consent and liability release above.

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