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Fun with Foreign Language
443-616-7343
info@funwithforeignlanguage.com
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Request for Preview Class
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Language
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Current Age
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Child 1 Name
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Any medical conditions of the child
that we should be aware of? If none,
please write "None".
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Choose the age group
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Language
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Current Age
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Child 2 Name
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Any medical conditions of the child
that we should be aware of? If none,
please write "None".
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Choose the age group
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Which class date and time
would you like to visit?
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Location
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If scheduling a class for more than two children, please submit an additional form. Please
remember to include your contact information,
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Parent(s)/Guardian(s) Name
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Email address--please provide an address
that is checked often.
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Home Phone
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Cell Phone
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How did you hear about us? If you were
referred, please list referrer's name.
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Liability Agreement: I agree that I will not hold a faculty member or an employee of Fun with Foreign
Language(FwFL), liable for injuries sustained or for illnesses contracted by me/my child/my children while a
student/participant at FwFL. I agree to indemnify FwFL and its faculty for all liabilities, costs, and judgments
arising for acts of omissions of the undersigned, which result in injury or damage to any person or party. I
further agree that I will not hold FwFL or any faculty member responsible for the loss or damage of personal
property during participation.
I have read the liability agreement and waive all claims of liability.
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Signature:
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Date:
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Fun with Foreign Language
443-616-7343
info@funwithforeignlanguage.com
© Fun with Foreign Language, LLC ®
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