Scuola di Lingua e Cultura Italiana Registration Form
P.O. Box G, South San Francisco, CA 94083-1507

[Please print and complete this form and send it to La Scuola with your payment]
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Name: _______________________________________________________________

Address:  ___________________________________________________________

City:  ______________________________________________________________

State: _____   Zipcode: __________ Phone: ___________________________

Email: ________________________________ [Please enter your email address for occasional updates about the school and cultural events. We will not give your email address to a third party.]

SEMESTER
TUITION*
(13 weeks)

$160.00 for the first household member registrant.
$140.00 for each additional household member registrant.

Class Codes:
[Adults may change their choice of class level at any time.]

P = Primary (ages 6-8)** Y = Youth (ages 9-12)**
B-1 = Beginning 1 B-2 = Beginning 2
I-1 = Intermediate 1 I-2 = Intermediate 2
A = Advanced
 NAME OF HOUSEHOLD MEMBER

CLASS

TUITION 

1st: ____________________________________
_____ _______
2nd: ____________________________________
_____ _______
3rd: ____________________________________
_____ _______
4th: ____________________________________
_____ _______
5th: ____________________________________
_____ _______
 
Subtotal:

_______
*EARLY REGISTRATION DISCOUNT [Subtract $15 per person if payment is postmarked by early registration cutoff date.]
       Fall 2008 early registration cutoff date: August 30
       Spring 2009 early registration cutoff date: January 02

** At the first day of class, parents of preschool and youth registrants are required to sign an age and responsibility form.


(Discount):


_______


TOTAL:

_______
Please review our refund policy before submitting payment to the address below.

Scuola di Lingua e Cultura Italiana   www.italianclasses.com
P.O. Box G, South San Francisco, CA 94083-1507 — phone: (650) 574-3089

Copyright © 2008 Scuola di Lingua e Cultura Italiana.   All rights reserved.