English Class Student Registration Form

NGLISH CLASSES - Summer 2026

Morning English classes are on Tuesdays and Thursdays from 9:30 to 11:30 a.m.
Evening English classes are on Tuesdays only from 6 to 8 p.m.
The Citizenship class is on Tuesday evenings, 6 to 8 p.m.
The Stories of Jesus class is Tuesday evenings, 6:30 to 8 p.m.

Childcare is provided for children who are not in school.

REGISTRATION

1. Complete the registration form below.

2. Come to the Placement Test on Tuesday, June 11, 10:30 to 11:30 a.m. or 7 to 8 p.m.

There is a $25 registration fee (for each season: fall, winter, spring, summer) payable at the placement test or first session. Scholarships are available for those who have been in the U.S. one year or less. You may pay using the link below or bring cash.

Students who have attended classes in the winter or spring 2026 semester do not need to re-register or come for a placement test; however, please let us know (info@neighborslancaster.org) by June 9 that you plan to come for the Summer session so we can reserve your spot.

Email Address

example@example.com

Full Name

First NameLast Name

Birthday

Date

Address

Street Address

Street Address Line 2

CityState / ProvincePostal / Zip CodeCountry

Cell Phone

Please enter a valid phone number.Format: (000) 000-0000.

Previous Country/Countries Where You Lived

Date You Arrived in USA (if you do not know exact date, select an approximate date)

Date

Language(s) You Speak*

Language(s) You Read/Write*

Highest Level of Education

Career/Vocation/Skills

I Am Registering for:

Children Who Will Be Attending (Childcare is Provided). Please List Names, Ages, and Any Known Allergies. Please Do Not Bring Children if You Have Not Registered Them.

Name of Student's Emergency Contact

Phone Number of Student's Emergency Contact

Please enter a valid phone number.Format: (000) 000-0000.

I Have Been in the U.S. Less Than One Year and Am Requesting a Scholarship for the $25 Registration Fee

Comments/Questions

Name of Person Assisting Student to Register, if any

First NameLast Name

Assistant's Relationship to the Applicant

Assistant's Email Address

example@example.com

Assistant's Phone Number

Please enter a valid phone number.Format: (000) 000-0000.