Registration Form - MIA Learning Center


Welcome!
We are Multicultural Immersion Academy, a Learning Center with an innovative approach to teaching and learning Spanish as a second language. We use creative pedagogical techniques and believe that the path to acquiring a second language is also the way to genuinely develop essential human skills such as critical thinking, creativity, communication, and collaboration. We offer three programs:

  • Out of School Hours .
  • Private Tutoring Class.
  • Seasonal Activities

All programs support the development of motor, language and social skills.You can sign up either for a full program or select those days that are most convenient for you and your child (children). To ensure your child's spot please, check the following instructions.

INSTRUCTIONS

1. Download Registration Form MIA.pdf

2. Complete the following Form and Submit it

A. PRIMARY PARENT / GUARDIAN

B. SECONDARY PARENT / GUARDIAN

C. ADDITIONAL & EMERGENCY CONTACTS

D. CHILD INFORMATION

E. PROGRAMS INFORMATION

Select the program(s) you are applying for*

F. PERMISSION TO USE PHOTOGRAPH

I agree that MIA may use such photographs of my child for any lawful purpose, including for example such purposes as publicity, illustration, advertising, and website content*