2022-2023 Registration

Child's Name *

First

Last

Vorname/Nachname

Child's Date of Birth *

ex. 14.08.2012

Child's Age/Class in September 2022 *

Child's School/Kindergarten in 2022-2023 *

*Please specify below.

Kindergarten/School if not listed above:

I would like to register my child for the following group:

Intermediate English (4th-6th class) Tuesdays 14:00 - 15:00
Academic English (Intermediate/Advanced 4th-6th Class) - Small Group MAX 3 - Tuesdays 15:00 - 16:00 - waiting list for new registrants
NEW Kindergarten Kids - Wednesdays 15:15 - 16:15 - start date TBD
Kindergarten Kids - Wednesdays 16:30 - 17:30 - waiting list for new registrants
Intermediate/Advanced English - literacy focus (1st - 2nd class) Thursdays 16:00 - 17:00 - waiting list for new registrants
Conversation Club (Grundschule) Thursdays 17:15 - 18:15
Saturday School - (3x/month Mother Tongue/Advanced) Saturdays 9:30 - 11:00
NEW Saturday School - (3x/month Mother Tongue/Advanced) Saturdays 11:30 - 13:00

I am interested in a NEW group for (level & age/day/time)

Only for those not finding a suitable group/opening above.Subject to teacher and learning studio availability. Please note that new groups cannot be scheduled at the same time as existing groups .

(New Students Only) Please select which one best describes your child's level in English:

Speaks English as a first language (One can have more than one first Language.)
Advanced
Intermediate - Understands quite a bit and can answer basic questions/share basic information.
Beginner/Low Intermediate
Complete Beginner

Your best idea is fine. Your child's level will be subtly assessed during the first meeting.

Parent/Guardian 1 *

First

Last

Vorname/Nachname

Email Address *

Preferred email address for invoicing & communication/Bevorzugte E-Mail-Adresse für Rechnungsstellung und Kommunikation

Billing Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Required for invoicing

Daytime Phone Number for Parent/Guardian 1 *

Parent/Guardian 2 (optional)

First

Last

Vorname/Nachname

Daytime Phone Number for Parent/Guardian 2 (optional)

Emergency Contact 1/Notfallkontakt 1 *

First

Last

(Who will typically be bringing/picking up your child?/(Wer wird das Kind normalerweise bringen/abholen?)

Phone Number - Emergency Contact 1 *

Emergency Contact 2 (optional but encouraged)

First

Last

Can be parent/guardian or other trusted adult/Das können die Eltern/Erziehungsberechtigten oder andere vertrauenswürdige Erwachsene sein.

Phone Number - Emergency Contact 2

My child has a severe allergy or serious health condition/Mein Kind hat eine schwere Allergie oder einen ernsten Gesundheitszustand *

yes
no

If yes, please provide detailed information below./Wenn ja, geben Sie bitte unten detaillierte Informationen an.

Additional allergy/health condition information/Zusätzliche Informationen zu Allergien/Gesundheitszuständen

All information provided will be handled confidentially.

Additional Information (learning differences, preferred learning stye, etc.) /Zusätzliche Informationen (Lernunterschiede, bevorzugter Lernstil, usw.)

Optional. All information provided will be handled confidentially.

Little English Schoolhouse

We learn by doing!

2022-2023 Registration