English Online Student Registration

Please register your details below

Participant Information

First Name *

Preferred Name

Last Name *

Email Address *

Phone Number *

Are you 18 years old or over? *

Yes

What is your age? *

Country of Residence *

What is your native language? *

Level of English *

Which class are you interested in? *

Zoom

I understand that I will use Zoom audio and video to participate in English Conversation Classes. *

I understand and accept

Parental Consent for children (18 years of age or younger) attending classes.

To allow children to participate in our program we request parental/carer consent.

Please complete your details below.

Parent / Carers First Name *

Parent / Carers Last Name *

Parent / Carers Phone Number *

Parent / Carers Email Address *

I consent to allow the above applicant to engage in online English Conversation Classes with the English Online Team via the Zoom platform.

Please write your name below as confirmation of your consent.

If you do have any questions regarding the content provided within these classes or would like more information please contact englishonline@bridgeman.org.au

Parent / Carers Signature *

Privacy Policy

By selecting "submit" you are confirming that you have read and agree to the Bridgeman Baptist Community Church Privacy Policy.

I have read and agree to the Privacy Policy.