English Class Student Registration Form

ENGLISH CLASSES - Fall 2026
- Morning English classes are on Tuesdays and Thursdays from 9:30 to 11:30 a.m.
- Evening English classes are on Tuesdays and Thursdays from 6 to 8 p.m.
- The Citizenship class is on Thursday 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 Thursday, September 10, 10 to 11 a.m. or 6:30 to 7:30 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 2026 do not need to re-register or come for a placement test; however, please let us know (info@neighborslancaster.org) by September 8 that you plan to come for the Fall session so we can reserve your spot.
Student Registration Form
Email Address
example@example.com
Full Name

First NameLast Name
Birthday

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
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)

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
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.
Should be Empty: