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International Friends at Grapevine ESL Program
Student Registration Information For Classes Beginning September 5, 2023
First Baptist Church of Grapevine
301 E. Texas Street
Grapevine, TX 76051
Email us at:
ifgrapevine@gmail.com
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First Name / Last Name (This is how your name will appear on your name tag)
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Your answer
Have you attended classes at IFG Grapevine Previously?
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Yes
No
House Number / Street Name / Apt. # (if applicable)?
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Your answer
City?
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Your answer
Zip Code?
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Your answer
Your Email address?
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Your answer
Your Cell Phone Number?
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Your answer
Your Emergency Contact's Name?
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Your answer
Your Emergency Contact's Relationship to You?
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Your answer
Your Emergency Contact's Cell Phone Number?
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Your answer
Your Birthdate: (Month/Day/Year)
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Your answer
Gender
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Male
Female
Your Home Country?
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Your answer
Your Native Language?
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Your answer
How Long Have You Lived in The USA?
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Your answer
Religious Preference ( Buddhism, Catholic, Christian, Hinduism, Islam, Other, None).
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Buddhism
Catholic
Christian
Hinduism
Islam
Other
None
How Would You Describe Your Current English Skills and What Would Area of English Would You Like to Improve?
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Your answer
If You Have Any Children Ages 0-5 That You Will Be Bringing To The Nursery While You Are Attending Class Please Provide Their Name / Age / Favorite Activity.
Your answer
Other Information You Would Like To Share.
Your answer
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