Tribeca Language - Pre-School Prep Registration Form

Pre-School Prep Registration Form

Thank you for registering your child for our pre-school prep program.

This form will complete/update the inquiry form that you already submitted with more precise information and contact information.

Based on your selected Payment Method, we will send you the info so you can proceed to the payment of the blocks of classes you selected.

Parent's Information

First Name

Last Name

Primary Phone Number*

Street*

Apt. or Ste. No.*

City*

State*

Country

Zip*

Preferred Payment Method*

Student's Information

First Name

Last Name

Nickname

Gender*

Date of Birth*

Pre-school/Day Care Center*

What language would you like to register for?*

What Block(s) would you like to register for?*

Desired Start Date

Which Preschool Prep semester would you like to sign-up for?

Does the student speak the language at home?*

Language(s) Spoken at home*

Has the student learned the chosen language before?*

What are your learning goals for your child?

Anything else we should know about prior knowledge and learning goals? Please describe any prior experience with the language:

Please describe emotional, behavioral, learning or physical disabilities as well as any medications needed

Does your child suffer from any known allergies?

Is your child potty-trained?

Has your child been dropped-off before?

Additional Contact Information

First Name

Last Name

Phone Number

Caregiver Information

Caregiver Name

Caregiver Email

Caregiver Phone Number

Additional Emergency Contact

Emergency Contact Name

Emergency Contact Phone

Emergency Contact Email

Name of the person filling out the form (if none of the contact mentioned above)

Relationship to the student:

If other, please precise:

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Click here to register an additional student