Your Language Connection: Registration Form

Register for Classes

Great news! When you have finished your registration below, you can now pay for your classes online for your convenience!

Registration Form

All required fields are marked with an asterisk (*).

(If you prefer to mail a paper registration, please download and print this PDF.)

Contact Information

Registration

Register for up to three classes here. Additional classes may be added in the “Other Notes” box below. Please include the title of the class, the day of the week the class meets (for example, Wednesday), the time the class meets (for example, 6:30 pm), and the date of the first class (for example, 01/04/2012).

Child(ren)’s Information

If registering children, please complete the information below for up to three children.

Other Information


Please use the submit button only once.

To pay for your classes, follow the link in your confirmation email to pay online, or, if you prefer, make checks payable to Your Language Connection and mail to PO Box 7374, Lancaster, PA 17604.

Mailing Address & Phone

Michelle Salinas

Your Language Connection

P.O. Box 7374 Lancaster, PA 17604 United States

717-371-9144

Pay online with credit card or PayPal.