Uno1 Dos2 Tres3 Español Without Stress Online Registration

Registration

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Welcome to the Uno1 Dos2 Tres3 Español Without Stress "familia"! We are so happy that you are here. Please note that a payment method is required for enrollment, but you won't be charged when you submit your registration. We will automatically deduct your payment from the credit card on file once we reach the minimum number of students for a class. Please contact us if you have any questions or concerns. Gracias!

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Referral Information

How did you hear about us?*

Family Information

Family Last Name*

Where do you live?

Home Address*

City*

State*

Zip*

Additional Info

Enter Coupon #

Contact #1

Contact #1 First Name*

Last Name *

Type*

How Can We Contact You?

Cell # *

Portal Access (your email is your login)

Email* (Emails are kept confidential)

Confirm Email*

Portal Account Password

Confirm Portal Account Password

Contact #2

Contact #2 First Name

Last Name

Type

How can we contact you?

Cell #

Email (Emails are kept confidential)

Confirm Email

Student #1

Student's First Name*

Last Name*

Birth Date*

Additional Info

Allergies (Leave blank if NONE)

FOR ELEMENTARY SCHOOLS ONLY. Student's Grade Level (Write N/A if this doesn't apply)*

FOR ELEMENTARY SCHOOLS ONLY. Student's School Teacher Last Name (Write N/A if this doesn't apply)*

FOR ELEMENTARY SCHOOLS ONLY. Pick Up Plan After Spanish Class (Write N/A if this doesn't apply)*

Please click on the Search button below, then choose the class. Student first name and birth date are required to do a search.

Enroll in Classes

Select Class

Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Birth Date*

Additional Info

Allergies (Leave blank if NONE)

FOR ELEMENTARY SCHOOLS ONLY. Student's Grade Level (Write N/A if this doesn't apply)*

FOR ELEMENTARY SCHOOLS ONLY. Student's School Teacher Last Name (Write N/A if this doesn't apply)*

FOR ELEMENTARY SCHOOLS ONLY. Pick Up Plan After Spanish Class (Write N/A if this doesn't apply)*

Please click on the Search button below, then choose the class. Student first name and birth date are required to do a search.

Enroll in Classes

Select Class

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Birth Date*

Additional Info

Allergies (Leave blank if NONE)

FOR ELEMENTARY SCHOOLS ONLY. Student's Grade Level (Write N/A if this doesn't apply)*

FOR ELEMENTARY SCHOOLS ONLY. Student's School Teacher Last Name (Write N/A if this doesn't apply)*

FOR ELEMENTARY SCHOOLS ONLY. Pick Up Plan After Spanish Class (Write N/A if this doesn't apply)*

Please click on the Search button below, then choose the class. Student first name and birth date are required to do a search.

Enroll in Classes

Select Class

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Birth Date*

Additional Info

Allergies (Leave blank if NONE)

FOR ELEMENTARY SCHOOLS ONLY. Student's Grade Level (Write N/A if this doesn't apply)*

FOR ELEMENTARY SCHOOLS ONLY. Student's School Teacher Last Name (Write N/A if this doesn't apply)*

FOR ELEMENTARY SCHOOLS ONLY. Pick Up Plan After Spanish Class (Write N/A if this doesn't apply)*

Please click on the Search button below, then choose the class. Student first name and birth date are required to do a search.

Enroll in Classes

Select Class

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Birth Date*

Additional Info

Allergies (Leave blank if NONE)

FOR ELEMENTARY SCHOOLS ONLY. Student's Grade Level (Write N/A if this doesn't apply)*

FOR ELEMENTARY SCHOOLS ONLY. Student's School Teacher Last Name (Write N/A if this doesn't apply)*

FOR ELEMENTARY SCHOOLS ONLY. Pick Up Plan After Spanish Class (Write N/A if this doesn't apply)*

Please click on the Search button below, then choose the class. Student first name and birth date are required to do a search.

Enroll in Classes

Select Class

Add Another Student

Required Policies

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Questions or Concerns

Comments

Payment Information

Please fill out CREDIT CARD Payment Method

Credit Card

Card Number *

Exp Month *

Exp Year *

Card Nickname

Name as it appears on card *

Address Line 1

Address Line 2

City

State

Zip*

eCheck/Bank Draft

Bank Name

Account Type

Your Account Name (Your name on your bank statement)

Bank Routing Number (9-digit number)

Account Number

Registration

Referral Information

Family Information

Where do you live?

Additional Info

Contact #1

How Can We Contact You?

Portal Access (your email is your login)

Contact #2

How can we contact you?

Student #1

Additional Info

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Student #2 (Show-Hide Details)

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Student #3 (Show-Hide Details)

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Student #4 (Show-Hide Details)

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Student #5 (Show-Hide Details)

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I Agree to All of the Above

Questions or Concerns

Payment Information

Credit Card

eCheck/Bank Draft

Required Policies

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