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Contact information

Parent's Information

(This section is only for students under age 18)

Course Information

Additional Requests...

Have you taken any English courses before?

If yes, please specify.

How did you hear about us?


To the best of my knowledge, the information I have given in support of my application is correct.

By clicking the checkbox I understand and agree to the following:

  • I certify that I, the person signing this form, am at least 18 years old and of lawful age. 

  • I understand that any abusive or inappropriate language or use of the program will result in the termination of my child's account.

  • The use of this program by minors (under 18 years of age) outside of class time must be under adult supervision.

I am aware of and affirm by clicking this checkbox that typing my name below constitutes as an electronic signature of this form.

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