Application Form for Immersion Class

Parent/Guardian Name *

First Name

Last Name

Parent/Guardian Phone

(###)

###

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Child's Name *

First Name

Last Name

Child's Birthday *

MM

DD

YYYY

I would like to enroll my child in the following immersion class. *

Tuesdays 3-6pm: 2nd/3rd Grade Class

Tuesdays 3-6pm: 4th/5th Grade Class

Wednesdays 1:30-5:30pm: K to 2nd Grade Class

Wednesdays 1:30-5:30pm: 3rd to 5th Grade Class

Thursdays 3-6pm: K/1st Grade Class (not available)

Thursdays 3-6pm: 6th to 8th Grade Class

Saturdays 9am-1pm: K/1st Grade Class

Saturdays 9am-1pm: 2nd/3rd Grade Class

Saturdays 9am-1pm: 4th/5th Grade Class