REGISTRATION FOR POLISH LANGUAGE AND HISTORY CLASSES



To register and pay online, submit the form below.


One form per person

*Student Name:

Parent Name (if applicable):

Address:

City: State: Zip:

Phone:

*Email:

Preferred communication: Phone: Email:

For Polish lessons, current skill level:
  Beginner: Intermediate: Proficient: Accomplished:

Class for which you are registering: Basic Polish: Advanced Polish:

Are you a member of PolishYoungstown Inc.? Yes     No



To pay by check, DOWNLOAD the form and

Mail to: Polish Youngstown, P.O. Box 684, Youngstown, OH 44501