JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Registration Form for ELL Center Classes
* Indicates required question
Name (First and Last)
*
Your answer
Address
*
Your answer
Phone #
*
Your answer
email
*
Your answer
Emergency Contact Full name
*
Your answer
Emergency Contact phone #
*
Your answer
Country of Origin (native country)
*
Your answer
Native language (Home language)
*
Your answer
Grade levels and Schools my children attend
Preschool
Pre-K
Kindergarten
1st grade
2nd grade
3rd grade
4th grade
5th grade
6th grade
7th grade
8th grade
9th grade
10th grade
11th grade
12th grade
ECC D68
Devonshire
Highland
Stenson
Old Orchard Junior High
Meyer
Middleton
McCracken
Fairview
East Prairie
Niles West
Niles North
Preschool
Pre-K
Kindergarten
1st grade
2nd grade
3rd grade
4th grade
5th grade
6th grade
7th grade
8th grade
9th grade
10th grade
11th grade
12th grade
ECC D68
Devonshire
Highland
Stenson
Old Orchard Junior High
Meyer
Middleton
McCracken
Fairview
East Prairie
Niles West
Niles North
Please register me for (Check all that apply)
*
ESL0
ESL1A
ESL1P
ESL2
ESL3
ESLREAD
ESLWRT
ESLCONV
COMP1
COMP2
CTZNAM
CTZNPM
Required
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Skokie School District 68.
Report Abuse
Forms
