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WIP Enrollment Form
March 2 - 3, 2019

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Contact Information


Preferred method of contact:*

Other Information
Do you have any physical restrictions we should be aware of (i.e. stairs, distances):*

Do you have any dietary restrictions we should be aware of: *

You and Rassias
Have you attended a previous Rassias program?*

Target Language Self-Evaluation


Rassias Center Language Program

Payment Instructions

Payment is required after you submit this form. The link to make your payment will appear on the form confirmation page.

Your enrollment cannot be processed without receipt of your payment.


Please contact us if you have any questions about the registration process.

Last Updated: 12/6/18