Semi-Private Registration Form
Arabic - Danish - Dari - English/ESL - Farsi - French - German - Hebrew - Italian - Japanese - Korean - Mandarin - Pashto - Polish - Portuguese - Romanian - Russian - Spanish - Swedish - Turkish - Urdu - Ukranian
How did you discover Speak?
Which language are you interested in studying?
Name of friend/partner
Best Phone Number
Please tell us about the level of experience with the language--professional and/or personal--that you both have.
What are your current goals for this course?
Which days/times are best for you? How many hours would you like to meet per week?
Any special requests in terms of your instructor's background?
Would you prefer to have your lessons at Speak! Language Center or at another location? If the latter, please specify the location. (There may be an extra charge - we will give you a price quote.)
Please enter total tuition due: (total hours x $70). Minimum course is 5 hours.
How would you like to pay?
Credit/Debit card through Paypal (next step)
Mail a check to Speak!
Payment and Cancellation Policy: Payment for the total course is due at or before the first lesson. Please note that individual lessons are scheduled directly with your teacher. If it is necessary to cancel a scheduled lesson, you need to give your teacher 24 hours notice. Otherwise, the lesson time will be charged. (Exceptions may be made in cases of illness or emergency.)
Please type YES to indicate you understand this policy
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