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St John's Easy English Classes
If you would like to join one of our classes just fill in your details in the form below. PLEASE USE ENGLISH. There is a small fee per term to cover the cost of lesson materials and morning tea so please bring $15 cash on your first day. Don't forget to click the green SUBMIT button at the end of this form!
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* Indicates required question
First name
*
Your answer
Family name
*
Your answer
Are you male or female? (Please tick one box)
*
Male
Female
Date of birth
*
MM
/
DD
/
YYYY
Email address
Your answer
Mobile number (or home phone)
*
Your answer
Home address
*
Your answer
What country were you born in?
*
Your answer
How long have you lived in Australia?
*
Your answer
Are you a permanent resident? (tick one box)
*
Yes
No
Required
What language do you speak at home?
*
Your answer
Please list any food allergies or medical conditions that we should know about (if you have none just write NONE)
*
Your answer
Please provide the
name
of someone we can contact in an emergency, their
mobile number
and their
relationship to you
(such as husband, daughter, friend)
*
Your answer
What level class do you need?
*
Beginner (you have very little or no English skills)
High Beginner (you have basic English skills and would like to learn more)
Intermediate (you can speak, read and write English but need to improve your skills)
If you have any questions please type them here -
Your answer
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