Registration Form

    1

    Student

    2

    Parent

    3

    Options

    4

    Goal

    5

    Consent

    6

    Payment

    Student's name*
    Age*
    Grade in US school system*
    Gender*
    Does the student have any special needs?*
    Does the students have any allergies?*

    Parent or Guardian's Full Name (for students under 18 years old)*
    Best E-mail address*
    Best phone number*
    Mailing Address*
    Town of residence*
    Can we contact you through Telegram application?*

    Are you willing to sponsor another student's tuition? If yes, please specify the amount you are willing to contribute towards their tuition.
    Which program are you willing to participate?*
    Are you interested in optional dance/music classes?*
    Rates
    • Mommy and me: $1,000 (1 hr)
    • Persian class: $1,400 (1.5 hrs)
    • Any workshop: $400 (1 hr)
    • One workshop & Persian class: $1,700 (2.5 hrs)
    • Two Workshops & Persian class: $2,000 (4 hrs)
        • Note: all rates are for 30 sessions.

    Student's goal in participating in this class.*
    Student's Farsi Reading Level.*
    Student's Farsi Writing Level.*
    Student's Farsi Speaking Level.*

    Media Consent
    Dear Applicant I hereby consent to the participation in interviews, the use of quotes, and the taking of photographs, movies or video tapes of the student. I also grant the right to Bagche to edit, use, and reuse said products for all purposes including use in print, on the internet, and all other forms of media. I also hereby release the Bagche for music, language and art and its agents and employees from all claims, demands, and liabilities whatsoever in connection with the above.
    Student's photograph/video/interview may be released in media.*
    Parent or Guardian's Signature.*

    Which payment plan do you prefer?*
    COVID 19
    Reading and understanding the Parent Handbook and the Covid Addendum is an important part of the enrollment process. It is the parent’s responsibility to read, question, and understand the handbook and addendum before your child’s first day of Bagche. By signing below you are stating that you have read and understand the Parent Handbook and Covid Addendum for the 2022-2023 school year.
    Parent or Guardian's Signature (if the student is below 18 years old)*
    5 + 6 =