Registration Form

STUDENT REGISTRATION:
* Student's Name:
* Student's Date of Birth: ex: 01/01/98
Parent's Name(s):
Address:
City:
State:
Zip Code:
Telephone:
Mobile Phone:
* Email:
Contact in case of Emergency:
Emergency Contact Phone Number:
Emergency Contact Cell Number:
Student's grade as of Sept:
Please, help us place your child in the right class:	Deutsche Sprachchule/Grade   Other German School/Grade   Native Mother Father Other None
How Is Your Child's German?:	Good Some None/ Too Young Understands Speaks Reads Writes
How Did You Hear About Us:	Advertising  |   Friends  Our Website  |   Other
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Check payable to Deutsche Sprachschule New York, Inc. should be brought to school.