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Registration Form for ELL Center Classes 2026-2027
This registration form is only for parents with children in D68, 72, 73, 73.5 and 219
Email
*
example@example.com
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Emergency Contact
*
First Name
Last Name
Emergency Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Country of Origin (native country)
*
Native Language (home language)
*
How many of your children go to school
*
1
2
3
4
5
6
7
Schools my children attend
*
Preschool at ECC D68
Pre-K at ECC D68
Devonshire, D68
Highland, D68
Stenson, D68
Old Orchard Junior High, D68
Fairview, D72
East Prairie, D73
Meyer, D73.5
Middleton, D73.5
McCracken. D73.5
Niles North, D219
Niles West, D219
Niles Central
Please register me for (Check each class that you want to register for. You can register for more than one class)
*
ESL1
ESL2/3
ESL4/5
ESL6
ESLCONV-Conversation Class
ESLREAD/WRT-Reading and Writing Workshop
COMP1
COMP2
COMP3
GGLCERT-Google Career Certificates
ELL Literacy Circle
How did you hear about ELL Center classes
*
I am a past student
email from Center
email from School
ELL Center website
Information from friend
Information from school
Other
I need childcare for this class. (Childcare is not guaranteed for all classes)
YES
NO
Maybe
Age of child or children
*
Enter the age or ages separated by commas if needed
Preferred location of class
*
I have transportation and can go wherever class is offered
Other (If you don't have transportation and prefer your closest school as location, please write here your preferred location)
Submit
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