Registration Form - little ambassadors - language immersion program for children

info@littleambassadors.com
808-256-4861

Online Registration Form

Mahalo for your interest in Little Ambassadors

To register, simply fill out the online registration form below
Once submitted, we will contact you to verify the availability of the class(es) you selected
(For siblings, please contact us directly - we offer discounts!)

* Indicates required field

Parent Name *

First

Last

Email *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

Child's Name *

School name *

Child's Date of Birth *

Use of Child's Image *

Japanese *

Chinese *

Questions/Comments *

Submit