Community Language Class Payment

Community Language Classes Registration Form

Please complete the following form to enroll and pay for the Saturday Amharic or Spanish class at the Carlos Rosario School. If you have any questions, please contact Elsa Haile at 202-797-4700 or ehaile@carlosrosario.org.

"*" indicates required fields

Date

Name*

First Last

Gender*

Date of Birth*

Home Address*

Street Address City State ZIP / Postal Code

Phone*

Email*

Are You Currently Employed?*

Yes

Please Upload a Picture of Your Official Photo ID*

Accepted file types: jpg, png, Max. file size: 3 MB.

Emergency Contact Name*

Emergency Contact Phone*

The Class I Want to Take is:*

What is your current Spanish level?

For Spanish students only, give us a general idea of your Spanish language abilities.

Please Note

In order to ensure individualized attention, enrollment is limited to 25 students. A minimum of 12 students is required to offer the class. Applicants will be registered on a first-come basis.

Don't have a PayPal account? No Problem! Instead of clicking on the blue "Log In" button, click on the grey "Pay with Debit or Credit Card" button to use your credit/debit card.