English as a Second Language (ESL) Spring 2020 Registration
Registration: Tuesday, January 7 from 7-9 pm, and Wednesday, January 8 from 9-11 am
Classes Begin Tuesdays, January 14-March 30 from 7-9 pm and Wednesdays, January 15-April 1 from 9-11 am
Name: *
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I am a: *
Street Address: *
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City: *
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State: *
Zip Code: *
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Date of Birth: *
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Email Address: *
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Phone Number: *
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Country of Origin: *
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First Language: *
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I would like to attend sessions on: *
Would you need childcare? If so, please list your children's names and ages. *
If yes, please list your children's names and ages.
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Have you taken any other ESL classes? *
If yes, where?
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Where did you hear about ESL Class? *
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