Registration Form - Spanish language and speech support

Thank you for choosing us,

The Spanish speech and language support sessions are a highly interactive program developed with experience, passion and love in order to help families preserve and develop their Spanish Language.

In order to be successful with the program, parents’ commitment is needed from start to finish, not forgetting that participation and punctuality is appreciated as well.

We encourage parents using the language and reinforcing the exercises done in class, the most they can with simple daily things, such as counting things, singing songs, watching TV shows, or playing with them. Remember this is team work, we appreciate your help in order for the sessions to be successful.

We encourage having a quiet , comfy place to work, free of distractions, if possible.

Monthly etransfers can be done to c.vallin@wordsinmotionbc.com through direct deposit.

Thanks again for trusting us!!

Signee Information

First Name *

Last Name *

Phone *

Email Address *

Address *

Province *

Postal code *

Special needs, concerns or gifts of my child: *

Languages Spoken at home:*

Expectations from the support language therapy? *

What are your main concerns about your kid's language and speech development? *

Please enter participants' full names:

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By clicking 'I Agree' below, you agree that you have read and agree with the terms of the waiver and that the information you provided is accurate. You furthermore agree that your submission of this form, via the 'I Agree' button, shall constitute the execution of this document in exactly the same manner as if you had signed, by hand, a paper version of this agreement.