Inkwell English Education - Inkwell English Education Registration

Inkwell English Education Registration

Registration will enable us to accommodate your needs for instruction. Because we value your privacy, we will share your information only with those individuals and entities that help us provide you quality service. We do not sell our mailing list. Clicking on the SUBMIT button at the end of this form acknowledges your consent to register for services and subscribe to our mailing database. From time to time we may send you messages that we feel may interest you. You may opt out of our mailing list at any time.

First Name Father or Primary Person to Bill for Services

Last Name or Primary Person to Bill for Services

Primary's Email for Billing & Communication

Cell Phone Number

First Name of Mother or Secondary Caregiver

Last Name of Mother or Secondary Caregiver

Address

Address Line 2

City

State

Country

Zip

Important information about Inkwell's services is included in Inkwell's Policies Agreement. A copy may be downloaded from the registration page of the website at www.INKWELLedu.com.

I have read and agree to the terms of Inkwell's policies posted at https://inkwelledu.com/wp-content/uploads/2019/03/Inkwell-Policies-Revised.pdf.

Additional Email

Additional Contact Phone

STUDENT INFORMATION

Student's First Name

Student's Last Name

Student's Email

Student's Cell Phone

School

Grade

Birth Date

Start Date

Comments

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Add Fields for Additional Student