CLINTON OFFICE

WINTER 2010

WorldPlay reserves the right to cancel classes or change the schedule due to enrollment.

Register by January 5, 2010

Classes are 60 minutes in length and meet once per week for 10 weeks. 

THIS PRICE INCLUDES ALL MATERIALS, REGISTRATION AND CLASSES.

CHECK THE BOX NEXT TO THE CLASS FOR WHICH YOU WOULD LIKE TO REGISTER

JAPANESE   Saturdays, 8:30-9:30am (M. Luciano)
ITALIAN    Wednesdays, 4:00-5:00pm (L. Faschi)
CHINESE   Fridays, 4:00-5:00pm (J. Wu)
FRENCH   Wednesdays, 4:00-5:00pm (P. Tastenhoye)
GERMAN   Fridays, 4:00-5:00pm (C. Lipp-Martin)
SPANISH   To be determined

Want a different language?  Click here.

 

Name of Child:  

Date of Birth: 

Parent Name: 

Address:    

City:  Zip:

Email: 

Phone number: 

CELLPHONE NUMBERS FOR BOTH PARENTS: 

FOOD ALLERGIES: 

Please list any other languages your child speaks or has been exposed to (by grandparents for example - or trips to a country that speaks the language) - please also tell us if they have studied this language before. 

Anything we should know about your child - how they learn, are they shy, any disabilities?  

No schedule posted for a language in which you are interested?  Please tell us what you want to see:

Please submit this form.  A confirmation page will appear.  Print it out and mail it with your check payable to:  Atkins International.  54 Old Highway 22, Suite 302, Clinton, NJ  08809  - If you prefer to pay with a credit card, click this box and we will email you an invoice that you can pay securely online. 

I WANT TO PAY WITH A CREDIT CARD!

$190.00 per child 

$20.00 for class DVD (optional) - please check here if you want a DVD

Total Amount to Be Paid: 

When we receive your payment, we will send you a receipt and confirm the start date of the program.  We reserve the right to cancel a program due to low enrollment.  Missed classes cannot be made up.  Winter Semester starts the week of January 11.  You will receive a confirmation via mail.