Sign Up Form – BLS – bridgeslanguageschool

To sign up, please complete the form below.

Student First Name*

Student Last Name*

Student Date of Birth*

Please enter your child's date of birth MM/DD/YYYY (e.g. 08/05/2010)

Parent First Name*

Parent Last Name*

Phone*

Your primary contact number

Email*

Address*

City*

State*

Zip Code*

Photo Release*

yes no

I give my permission to have my child's photo used on the BLS website or Facebook page.

Agreement*

I understand that this is an annual program. Tuition may be paid monthly by automatic draft, by semester, or annually. A non-refundable registration fee equal to one month's tuition is due upon acceptance into the program. (This does not apply towards tuition.) A two-week notice must be given if I choose to withdraw from the program. The full month's tuition payment will be charged for any child who leaves the program after the first day of school.