Exit this survey Los Monitos K-GROUPS Language Learning Community Welcome to the Los Monitos K-GROUPS Language Learning Community! K-GROUPS means no more published schedules to sort through, trying to decide if it fits your schedule or requiring you to alter your schedule to make it work. Instead, you give us your child's open days and times and we'll try to form a class around your availability! When we get enough kids to form a group, their K-GROUP will start! Please give us more information about yourself, child, schedule, and language level. Thank you! Question Title * 1. Please give us your contact information Parent Name: * Child(ren)'s Name(s) (Answer ALL questions with this order) Address Address 2 City / Town State -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming Zip Code E-mail * Cell Phone * Question Title * 2. How did you hear about Los Monitos? (mark all that apply) Internet Search Engine (Google, Bing, Etc.) Facebook ad or post Twitter ad or tweet You received an e-mail from us Magazine ad An event From a friend, family member, or co-worker Macaroni Kid Louisville Family Fun Other (please specify) Question Title * 3. Child's Age Age Range Actual Age Child 1 <3 3-5 6-8 9-11 12-15 16-18 Child 1 Age Range menu 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 Child 1 Actual Age menu Child 2 <3 3-5 6-8 9-11 12-15 16-18 Child 2 Age Range menu 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 Child 2 Actual Age menu Child 3 <3 3-5 6-8 9-11 12-15 16-18 Child 3 Age Range menu 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 Child 3 Actual Age menu Question Title * 4. Child's Language Preference(s) and Level(s) - Enter ALL that you are interested in! Language 1 Level 1 Language 2 Level 2 Child 1 Spanish French German Italian Arabic Chinese Japanese Korean Portuguese Russian ESL (English as Second Language) Child 1 Language 1 menu Total Beginner Some Experience Intermediate Advanced Child 1 Level 1 menu Spanish French German Italian Arabic Chinese Japanese Korean Portuguese Russian ESL (English as Second Language) Child 1 Language 2 menu Total Beginner Some Experience Intermediate Advanced Child 1 Level 2 menu Child 2 Spanish French German Italian Arabic Chinese Japanese Korean Portuguese Russian ESL (English as Second Language) Child 2 Language 1 menu Total Beginner Some Experience Intermediate Advanced Child 2 Level 1 menu Spanish French German Italian Arabic Chinese Japanese Korean Portuguese Russian ESL (English as Second Language) Child 2 Language 2 menu Total Beginner Some Experience Intermediate Advanced Child 2 Level 2 menu Child 3 Spanish French German Italian Arabic Chinese Japanese Korean Portuguese Russian ESL (English as Second Language) Child 3 Language 1 menu Total Beginner Some Experience Intermediate Advanced Child 3 Level 1 menu Spanish French German Italian Arabic Chinese Japanese Korean Portuguese Russian ESL (English as Second Language) Child 3 Language 2 menu Total Beginner Some Experience Intermediate Advanced Child 3 Level 2 menu Other (please specify) Question Title * 5. Please choose all available class times that would work with your schedule: Monday Tuesday Wednesday Thursday Friday Saturday Sunday 8AM 8AM Monday 8AM Tuesday 8AM Wednesday 8AM Thursday 8AM Friday 8AM Saturday 8AM Sunday 9AM 9AM Monday 9AM Tuesday 9AM Wednesday 9AM Thursday 9AM Friday 9AM Saturday 9AM Sunday 10AM 10AM Monday 10AM Tuesday 10AM Wednesday 10AM Thursday 10AM Friday 10AM Saturday 10AM Sunday 11AM 11AM Monday 11AM Tuesday 11AM Wednesday 11AM Thursday 11AM Friday 11AM Saturday 11AM Sunday 12PM 12PM Monday 12PM Tuesday 12PM Wednesday 12PM Thursday 12PM Friday 12PM Saturday 12PM Sunday 1PM 1PM Monday 1PM Tuesday 1PM Wednesday 1PM Thursday 1PM Friday 1PM Saturday 1PM Sunday 2PM 2PM Monday 2PM Tuesday 2PM Wednesday 2PM Thursday 2PM Friday 2PM Saturday 2PM Sunday 3PM 3PM Monday 3PM Tuesday 3PM Wednesday 3PM Thursday 3PM Friday 3PM Saturday 3PM Sunday 4PM 4PM Monday 4PM Tuesday 4PM Wednesday 4PM Thursday 4PM Friday 4PM Saturday 4PM Sunday 5PM 5PM Monday 5PM Tuesday 5PM Wednesday 5PM Thursday 5PM Friday 5PM Saturday 5PM Sunday 6PM 6PM Monday 6PM Tuesday 6PM Wednesday 6PM Thursday 6PM Friday 6PM Saturday 6PM Sunday 7PM 7PM Monday 7PM Tuesday 7PM Wednesday 7PM Thursday 7PM Friday 7PM Saturday 7PM Sunday 8PM 8PM Monday 8PM Tuesday 8PM Wednesday 8PM Thursday 8PM Friday 8PM Saturday 8PM Sunday Other or Special Schedule Constraints (please specify) Question Title * 6. Please check all options and preferences that apply: This instruction would REINFORCE previous or current instruction my child has had. This language is NOT OFFERED in my child(ren)'s school. This instruction will PREPARE my child(ren) for future instruction in school. I would be interested in learning more about a FAMILY language program. Our family plans to TRAVEL to a country that speaks the language(s) in the near future. I would be interested in learning more about your SUMMER CAMPS for ages 6-12 I think my child(ren)'s school might be interested in foreign language and/or culture AFTER-SCHOOL PROGRAMS. My child would like to be part of a HIGH SCHOOL STUDY GROUP I would consider PRIVATE or SEMI-PRIVATE instruction for my child(ren) if a group cannot be formed with my preferences. I would be interested in using an ONLINE group option. Other (please specify) Question Title * 7. Our Language Learning K-Groups run on a month by month basis for $69 per month. (1-hour sessions, 1X per week, 48 weeks per year)$10 discount per month for 2nd/3rd children if siblings enrolled.If you want an additional 5% discount on your monthly group fee, go ahead and complete your PREFERRED payment method below. You will not be charged until a Group Formed Confirmation E-mail is sent and you confirm attendance. You may pause future monthly charges up to a week before next charge. Missed classes can be applied to future month at $13 per class per child (1 credit per child per month limit).Credit Card Payments Type of Card (Visa, master card, etc.): Card Number: Expiration Date: Full Name on Card: Billing Address (Street Address, City, State, Zip Code): CVV Security Code: Question Title * 8. Bank Draft Payments Depository Bank Name: Routing Number: Bank Account Number: Checking or Savings? Done