Online Enrollment Form
First Name:
Last Name:
*
Email:
*
Phone:
Address:
Ages 2-3 - $75 / Month
Ages 4-5 - $60 / Month
Ages 6-8 - $60 / Month
Ages9-11 - $60 / Month
Ages 12-15 - $60 / Month
Adults - $60 / Month
One to One Tutoring - $30 / Hour
Custom Group Class - $350/ Month
Desired Month or Hours of Private Tutoring :
Desired Class :
Emergency Contact Info / Instructions:
Parents / Guardian Contact Info if younger
than 18:
*
Questions, comments, or feedback:
Please print your confirmation page and submit it along with the required payment. We will immediately receive you registration; however, your registration will not be finalized until we receive your payment. Due to the very low student to teacher ratio, we can not honor cancellations. If we however find a replacement, we will gladly refund your payment. Please make your check payable to Jobin Kabiri and forward it to: The Persian Academy 1910 Berryman St #306 Berkeley, CA 94709
