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Casa de ART Enrollment Form

Full Name

*

Age

*

Grade Level

*

Grade Level

A

Pre-School

B

Grade School

C

High School

D

Senior High

E

College

F

Adult

Gender

*

Gender

A

Male

B

Female

Nationality

*

Address

*

Does the student know how to speak English?

*

Does the student know how to speak English?

A

Yes

B

No

Class Packages ( 8 sessions: 50 minutes per session)

*

Class Packages ( 8 sessions: 50 minutes per session)

A

Beginner / Kids Class (USD 150)

B

Intermediate Class (USD 200)

C

Advanced Class (USD 250)

Preferred Number of Class in a week

*

Preferred Number of Class in a week

A

2

B

3

C

4

D

5

Preferred Class Date

*

(Ex. July 2,3, 9, 10, 16, 17, 23,24)

Preferred Class time

*

Referral Code (Please answer this only if you have)

Please place your Unique Referral Code to get a 10% discount.

These are the 10% discounted rates:

Beginners / Kids Class: USD 135

Intermediate Class: USD 180

Advanced Class: USD 225

(We will be checking the referral code, so please skip this if you don't have)

PAYMENT METHOD / PROOF OF PAYMENT
(Please attach the proof of payment)

Wise

Account Name: Sukho Cho

Routing Number: 101019628

Account Number: 21217

Size limit: 10 MB

Casa de ART Enrollment Form

Full Name

Age

Grade Level

Gender

Nationality

Address

Does the student know how to speak English?

Class Packages ( 8 sessions: 50 minutes per session)

Preferred Number of Class in a week

Preferred Class Date

Preferred Class time

Referral Code (Please answer this only if you have)

PAYMENT METHOD / PROOF OF PAYMENT(Please attach the proof of payment)

PAYMENT METHOD / PROOF OF PAYMENT
(Please attach the proof of payment)