"*" indicates required fields FacebookThis field is for validation purposes and should be left unchanged.CoursesPlease select the course(s) you'd like to register for. Payments can be made by cheque, cash, or e-transfer to payments@vermilionclass.ca after you complete this form. Important Notice: If you are registering multiple participants, please ensure that a separate registration form is completed and submitted for each individual.English Language for Beginners (Price $0)Joining a conversation class helps ESL learners improve their speaking fluency, expand their vocabulary, and enhance listening skills. It also fosters cultural understanding, builds confidence, and allows participants to meet other English language learners in their community.Evening English Language Class (Price $0)This class is for English Language Learners to improve their written, reading, listening and speaking skills.IBasics (Price $0)This class is for those wanting to gain more knowledge of their Iphone or Ipad.Computer Basics (Price $0)This class is for those wanting to gain more knowledge of laptop and homebased computer systems.Please select what you want to register for*English Language- Evening ClassesEnglish Language BeginnerIbasics (Iphone/Ipad) ClassesName* First Last Parent's Name First Last if registering for a childPrimary Phone*Secondary PhoneEmail* Address* Street Address Address Line 2 City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code How did you hear about this program? Flyer Poster Social Media Friend Other select all that applyPlease share how you heard about this program.For Our FunderThe following information is collected for the purpose of reporting to our funder, no names are used when reporting. Please fill out as much of this section as you are comfortable with.Gender* Male Female Other Prefer not to disclose Year of Birth*Status* Canadian Citizen First Nations/ Metis / Inuit Permanent or Temporary Resident / Refugee Ukrainian Unknown Schooling No schooling Grades 1-6 Grades 7-9 Grades 10-12 Some Post-secondary Post-secondary Graduate Special Education Unknown Will you travel more than 50km one way for this program? Yes No Do you have problems in any of the following areas? Financial (money) Childcare Transportation Belonging Confidence Learning Family Issues Parenting Racism English Language Housing Needs Food Childcare: Will you require childcare at the CLASS office while you attend English classes? Yes, Always Yes, sometimes No, I do not need childcare **Only Applies to English Language Learners**Marketing & ConsentPlease send me email notices for Fall & Winter Flyer (sent out twice per year) Art Classes General, Personal Development classes Technology/ Business classes Newcomer information CLASS Events Consent I authorize CLASS to use names, photos and testimonials of myself and/or my child for awareness and promotion purposes. (social media, displays and newspaper).Consent I do NOT authorize CLASS to use names, photos and testimonials of myself and/or my child for awareness and promotion purposes. (social media, displays and newspaper).Consent* I authorize CLASS to contact me about the classes I am registered in.Additional CommentsTotal CAPTCHA4+7 = ______*Please enter a number from 1 to 9999.
