Spanish Explorers - Online Registration

Please fill out the form below to register your child for our Spanish Explorers group class.

All group classes require registration prior to the first day of class. Students who arrive at the first class with intention to enroll may not be admitted.

Students must have registered and paid in full no later than that date. You will receive an invoice after you register. Please contact our office or respond to the registration confirmation e-mail to arrange payment.

Please complete one form per child. If you have any difficulty with this form, please contact our Director at jporter@indyfla.com or call us at 317-566-8200 to register.

The registration deadline for all sessions of Spanish Explorers is one week prior to the first day of that session.

Register your child for Spanish Explorers!

ABOUT YOUR CHILD

Your Child's Name:

Your Child's Age: 6 7 8 9 10

Your Child's Grade Level:

Has your child studied Spanish before? (Explain.)

Street Address:

City: State: Zip Code:

Please list any health concerns or allergies of which our staff should be aware:

Emergency Contact (Name & Number):

ABOUT YOU

Name of Parent or Guardian:

Relationship to Child:

Note: Invoicing will be sent to the Parent/Guardian listed here unless otherwise requested under "Notes."

Address (if different):

Street Address:

City: State: Zip Code:

Home Phone: Cell:

Work Phone: E-mail:

Preferred Method of Contact: Home Phone Cell Phone Work Phone E-mail

How did you hear about us?

ABOUT THE CLASS

Please check the class for which you are registering this child:

Spanish Explorers - September 2010

Spanish Explorers - October 2010

Spanish Explorers - November 2010 (Please note that activities related to El día de los muertos will be taught during the November session.)

All sessions of Spanish Explorers are held at our Carmel office at 11495 N. Pennsylvania, Suite 270.

Policy Agreement: I hereby agree to the language instruction policy of the Indy Foreign Language Academy. Read policy (You must agree to the Policy Terms in order to register.)

Notes/Additional Information

By clicking the "submit" button, I hereby give the child named in this completed form permission to attend and fully participate in classes at Indy Foreign Language Academy, and attest that I am legally able to give such permission. I agree that the allergy and health information previously provided is accurate to the best of my knowledge and agree not to hold Indy Foreign Language Academy (a division of Indy Translations, LLC) and/or its staff or employees responsible for any injury resulting from un-provided allergy or health information or normal activities in the classroom and premises. I furthermore state that I have read and agree to the language instruction policies of the Indy Foreign Language Academy.