Please fill out the following form for each child you want to enroll, applicable to group lessons, private or semi-private lessons. Check out the fees here. Fees are due before the start of the first class of each session.
 

Student's First Name (required)

Student's Last Name (required)

Student's Nick Name (optional)

FemaleMale

Student's Birthday (required)

Current Grade

Parent's Name (required)

Parent's Phone (required)

Parent's 2nd Phone (optional)

Parent's Email (required)

Parent's 2nd Email (optional)

Select A Class Type
Group LessonSemi-Private LessonPrivate Lesson

Best Times for classes
1st Choice

2nd Choice

3rd Choice

Student's current level in desired class(required)

Text Books Used and/or Places for Previous Classes

What would you like to achieve through this class(required)

For language lessons only, select what you want the student to achieve through this curriculum (hold ctl key to select multiple)

If you select "Other" in the question above, please specify

When would you like your child to start

Other Comments or Concerns

Quentz Bilingual Academy teachers occasionally take photographs or videos of students in the classroom.
Yes, I give my permission for my child to be photographed or videotaped during activities at Academy or on field trips.No, I do not want my child photographs to be taken.

Cancellation and Refund Policy: No refunds after used/missed lessons.
I understand and accept the cancellation policy.

I/We, on behalf of myself and my minor child, agree to release, hold harmless and indemnify Quentz Bilingual Academy, their employees, officers and agents, from any loss, cost, damage, accident, illness, or death occurring and/or expense of any nature, including all attorneys’ fees and costs which I or my child may have resulting, either directly or indirectly, from my child’s participation in Quentz Bilingual Academy's curricular programs or activities.
I/we acknowledge that we have read and understand this document and accept the risk and responsibility.

When you click on the button below, you will receive an email confirmation. Please follow the instructions in the email.