2023/2024 Russian Language School - Student Registration
If you have any questions, please contact Luba Shargorodskaya @ 503-888-0643
Name
*
Birthday
*
Did this student attend Russian Language School?
*
Please select one option.
Yes
No
Select Option
Yes
No
How many classes were completed in Russian Language School?
*
Please select one option.
1
2
3
4
5
6
Select Option
1
2
3
4
5
6
Primary Contact Parent:
Name:
*
Address
*
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GA
GU
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LA
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MD
ME
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MI
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MP
MS
MT
NB
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NH
NJ
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PA
PE
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Email
*
This address will receive a confirmation email
Phone
*
Spouse Info:
Full Name:
*
Email:
*
Phone:
*
Payment
$120
Credit/Debit Card Number
Expiration Date/CVC
Name on Card
Card Billing Address
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AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Submit
Description
If you have any questions, please contact Luba Shargorodskaya @ 503-888-0643
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