ESL Class Registration.

Fill out the form below and click the submit button at the bottom of the page to complete your registration. Questions? Contact Jill Metz at 248.912.0043 or jill@oakpointe.org.

Desired Class

Friday Morning ESL Conversation Class (for women only)
Meets every other Friday, January 20th - May 18th
10:00 - 11:30 a.m.
Childcare available for a small fee.


Your Information

First Name:

Last Name:

Birth Date:

Gender: Male   Female

Address:

City:

Zip Code:

Home Phone:

Cell Phone:

Contact Preference:   Home Phone   Cell Phone

Email:


Additional Details

What is your native language?

Have you attended an ESL class at Oak Pointe Church before?
Yes     No

How well do you read and speak English?
Almost none    A little bit    An average amount    A lot


Childcare

Please list the children you plan to bring with you.

First Name:
  		 Last Name:
Severe Allergies / Reaction:
  

Gender:
Male   Female

 Grade:
 Date of Birth:


First Name:
  		 Last Name:
Severe Allergies / Reaction:
  

Gender:
Male   Female

 Grade:
 Date of Birth:


First Name:
  		 Last Name:
Severe Allergies / Reaction:
  

Gender:
Male   Female

 Grade:
 Date of Birth:


First Name:
  		 Last Name:
Severe Allergies / Reaction:
  

Gender:
Male   Female

 Grade:
 Date of Birth:


First Name:
  		 Last Name:
Severe Allergies / Reaction:
  

Gender:
Male   Female

 Grade:
 Date of Birth: