FALL 2022 Registration FORM

Student's Name *

Parents names (if applicable)

Home Address*

Email*

Language: French, Italian, Spanish, English*

Child or teen's school and grade

Adults: I am a beginner, intermediate or advanced student*

Private or Group lessons (if available) I will be learning for business or personal travel? Some of my special interests are?*

Day of the week and time preferred? Please list 2 choices*

Food or other allergies we should know about? We occasionally do tastings!

I have read this Registration Form and accept the conditions. Please initial here ______.

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15 Covert Street, Port Washington, New York 11050, United States