Arts & Academic Immersion Clubs Registration Form

School Year *

Please specify the school year for which you are registering.

Select the Immersion Club for this student *

Other club *

Please describe the club in French immersion that you are looking for.

Student First Name *

Student Last Name *

Weekday School - Name *

Please enter the weekday school that this student will attend during the selected school year.

Weekday Grade Level *

American Grade level that the student will be in during the selected school year.

Weekday School - City/Town *

Date of Birth *

Day

Month

Year

Gender *

Parent Title *

Parent First Name *

Parent Last Name *

Email *

Phone Number *

Address *

Country *

Address 1 *

Address 2

City *

State *

ZIP code *

Terms & Down-Payment *

I accept the terms & conditions and to pay the down-payment of $100, which will be fully applied to the tuition balance. The down-payment is not refundable, except in the cases listed on the tuition page. Payment of the down-payment secures this student's rank in terms of spots and preferences. For payment by credit card a 3% processing fee is passed on in our effort to keep tuition as low as possible.

How did you initially hear about us? *

Message

This field is provided so that you can submit ideas, suggestions, feedback, and/or questions you may have.

After you press "register" you can register another student by following the link.