Student Registration
In-Person (Live) Classes
Dana Point

LOCATION:
Gloria Dei Lutheran Church*

**33501 Stonehill Drive Dana Point, CA 92629 (*Park in upper lot)**

Complete the following form.
Click the black “SUBMIT” button.

CLASS REQUESTED

MONDAYS, BEGINNING LEVEL, 10:00 A.M. - 12 NOON

MONDAYS, INTERMEDIATE LEVEL, 10:00 A.M. - 12 NOON

MONDAYS, ADVANCED LEVEL, 10:00 A.M. - 12 NOON

STUDENT FIRST NAME

STUDENT LAST NAME

STUDENT IS 18 YEARS OF AGE OR OVER

Yes

STUDENT EMAIL

STUDENT ADDRESS [NUMBER, STREET, CITY, ZIP CODE]

Optional

STUDENT PHONE NUMBER

STUDENT FIRST LANGUAGE

Optional

STUDENT AGE / GENDER

Optional

EMERGENCY CONTACT NAME AND PHONE NUMBER

Who should we contact in case of emergency?

COMMENT / QUESTION

SOUTH COAST LITERACY COUNCIL USES PHOTOS OF OUR PARTICIPANTS FOR WEBSITE, FACEBOOK, PROMOTION, AND ADVERTISING. IF YOU DO NOT AGREE TO THIS, YOU MUST NOTIFY SCLC IN WRITING.

GLORIA DEI LUTHERAN CHURCH*
33501 STONEHILL DRIVE DANA POINT, CA 92629
(*PARK IN UPPER LOT)

Student RegistrationIn-Person (Live) ClassesDana Point

LOCATION: Gloria Dei Lutheran Church*

33501 Stonehill Drive Dana Point, CA 92629 (*Park in upper lot)

Complete the following form.Click the black “SUBMIT” button.

SOUTH COAST LITERACY COUNCILFREE ENGLISH LANGUAGE LEARNER (ELL) CLASSES FREE ONLINE ENGLISH (ELL) CLASSESFREE ONLINE SELF-STUDY ENGLISH (ELL)SOUTH ORANGE COUNTY, CALIFORNIA

Student Registration
In-Person (Live) Classes
Dana Point

LOCATION:
Gloria Dei Lutheran Church*

**33501 Stonehill Drive Dana Point, CA 92629 (*Park in upper lot)**

Complete the following form.
Click the black “SUBMIT” button.

SOUTH COAST LITERACY COUNCIL
FREE ENGLISH LANGUAGE LEARNER (ELL) CLASSES
FREE ONLINE ENGLISH (ELL) CLASSES
FREE ONLINE SELF-STUDY ENGLISH (ELL)
SOUTH ORANGE COUNTY, CALIFORNIA