Language
English (US)
ELL/ESL Classes Registration
International Friendship Center, Christ Pewaukee
Please fill in all information to the best of your ability.
Classes will be held Tuesdays starting September 13, 2022, through November 29, 2022, there are two class options mornings (time yet to be determined) and evenings 6:30 pm-8:00 pm.
ELL/ESL Classes (English Language Learners/English as a Second Language) will be held at the International Friendship Center located on the lower level of Christ Lutheran Church in Pewaukee (W240 N3103 Pewaukee Rd., Pewaukee, WI 53072).
Name
*
First Name
Last Name
Gender
*
Male
Female
Date of Birth
*
-
Month
-
Day
Year
Date
Phone Number
*
-
Area Code
Phone Number
Do you use texting?
*
Yes
No
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Country of Origin
*
Please Select Class Option You Prefer
*
Tuesday Mornings (time yet to be determined)
Tuesday Evenings 6:30-8:00 pm
Do you have children that would require supervision during class?
*
Yes
No
What are their names and ages?
First Name
Last Name
Date of Birth
Age
Child 1
Child 2
Child 3
Child 4
Leave additional comments here:
blanks
Do you have any allergies?
Yes
No
List your allergies.
Submit
Should be Empty:
Now create your own Jotform - It's free!
Create your own Jotform