Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Name of Parent *FirstLastEmail *Parent E-mail Student German proficiency Phone Number *Phone Number of ParentName of Student *FirstLastChild Birthdate *German proficiency of student *NoneChild has little or no prior knowledge of GermanChild is exposed to German at home and sometimes speaks GermanChild speaks mostly German at home or in his/her regular schoolName of Student 2ndFirstLast2nd Child BirthdateGerman proficiency of 2nd studentNoneChild has little or no prior knowledge of GermanChild is exposed to German at home and sometimes speaksChild speaks mostly German at home or in his/her regular schoolName of Student 3rdFirstLast3rd Child BirthdateGerman proficiency of 3rd studentNoneChild has little or no prior knowledge of GermanChild is exposed to German at home and sometimes speaks GermanChild speaks mostly German at home or in his/her regular schoolQuestions/Comments (optional)Submit