Application for Admission Sister Cities 2026

Scuola Italiana di Portland
Sister Cities Italian Language Classes 2026
Adult's Name*

First NameMiddle NameLast Name
Child's Name

First NameMiddle NameLast Name
Date of Birth (child)

MonthDayYear
Parent 1 Full Name

First NameLast Name
Spouse if not child's parent

First NameLast Name
Parent 1 Address

Street Address

Street Address Line 2

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Postal / Zip CodeCountry
Parent 1 Home Number

Area CodePhone Number
Parent 1 Work Number

Area CodePhone Number
Parent 1 Cell Number

Area CodePhone Number
Adult 1 E-mail*
Parent 1 Employer and Title
Parent 2 Full Name

First NameLast Name
Spouse if not child's parent

First NameLast Name
Parent 2 Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Parent 2 Home Number

Area CodePhone Number
Parent 2 Work Number

Area CodePhone Number
Parent 2 Cell Number

Area CodePhone Number
Parent 2 Employer and Title
Parent 2 E-mail
If parents separated, student lives with:
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Emergency contact #1 (name, address, phone)
Emergency contact #2 (name, address, phone)
Where did you learn about this program?
Signature Parent 1*

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Signature Parent 2

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Sister Cities Bologna Exchange Classes - Second Session$100.00

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Scuola Italiana di PortlandSister Cities Italian Language Classes 2026

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Scuola Italiana di Portland
Sister Cities Italian Language Classes 2026