Student Registration
Online (Zoom) Classes
Rancho Santa Margarita

INTERMEDIATE LEVEL
SATURDAYs 10:00 a.m. — 12:00 NOON

Classes are online on Zoom
Times are California (Pacific) time

Complete the following form to register
for free, online English classes
INTERMEDIATE LEVEL
Saturday mornings on Zoom
10:00 a.m. - 12:00 noon

STUDENT FIRST NAME

STUDENT LAST NAME

STUDENT IS 18 YEARS OF AGE OR OVER

Yes

No

STUDENT EMAIL

STUDENT ADDRESS

STUDENT PHONE NUMBER

STUDENT FIRST LANGUAGE

STUDENT AGE / GENDER

SOUTH COAST LITERACY COUNCIL HAS PERMISSION TO USE STUDENT PHOTO FOR WEBSITE, FACEBOOK, PROMOTION, OR ADVERTISING

Yes

No

COMMENT / QUESTION