Your registration is NOT complete yet
To complete your registration, please fill out the form below with your child's/children's information.
If you are registering multiple children there is room provided below for up to three children.
IMPORTANT: If you don't remember the class you purchased please check your email inbox for your receipt.
Continue below to register a second or third childIf your child is in two classes or Class + Summer Camp,please select the 2nd class or camp from the "class purchased" option below.
Physician & Dentist Emergency Contact
Authorized People To Take Child From Facility
Child Drop Off and Pick Up Routine,Medical Consent and Waivers
We are excited to teach Spanish to your child in a fun and engaging way. Teaching is most effective when children know they are in a safe and secure environment.
Because the safety and security of your child is our highest priority, please carefully review the following drop off and pick up routine, the medical consent, waiver and sign below to indicate your acknowledgment and agreement.
DROP-OFF and PICK-UP Routine Rules
(PLEASE READ CAREFULLY) Check ALL boxes to confirm and agree.
Acknowledgment,Medical Consent, Waiver and Release
I, parent or legal guardian of the above student and a minor, hereby acknowledge that I have registered my child to attend “Spanish in Action School of Language for Children Inc.” at 3001 N. Sepulveda Boulevard, Suite “G”, Manhattan Beach, CA 90266.
While my child is attending class at Spanish in Action School of Language for Children Inc., including before and after class when my child is in the custody of the school, I hereby authorize Maria Ure and the Spanish in Action employees, teachers, assistants or other authorized representatives, to act in my absence as my agent to consent to medical examination and/or treatment for my child.
I hereby further release Maria Ure, Spanish in Action Inc., and their employees, teachers, assistants and representatives, and further waive any and all claims and causes of action, known and unknown, arising out of or in connection with Spanish in Action language classes, failure to follow drop off/ pick up routine rules, any and all activities undertaken during the time my child is attending class, or under the supervision of Maria Ure or the Spanish in Action Inc. employees, teachers, assistants and representatives, including driving my child as may be required in case of an emergency or in case no parent, guardian or authorized person shows up to pick up my child and my child needs to be returned to my home address.
Permission To Take Pictures
I hereby give permission for images of my child captured during Spanish in Action year round classes and camps through video, photo and digital camera to be used solely for the purposes of Spanish in Action promotional materials and publications. I understand that the photos and videos may be used on flyers and on the Spanish in Action website, youtube and social media in an effort to create awareness about the Spanish program for children and waive any rights of compensation or ownership thereto.