Group Enrolment Form for Courses
1. Student enrolment information
A. Student course selection
B. Total number of courses ordered:
2. Mailing Address:
3. Phone Number:
4. Email Address:
5. Supervisor Name (if applicable):
6. Supervisor phone number (if applicable):
7. Supervisor email address (if applicable):
8. Supervisor relationship to student (if applicable):
9. From which environment will you be learning English?
From a school - What is the name of your school?
From a business - What is the name of your business?
Please use the following table to determine the total program cost for the class(es) which you have chosen for this trimester.
Total Number of Courses
Ordered (from 1.B)
Cost Per Course
Registration Fee ($25 per student, maximum $100)
TOTAL PROGRAM COST
Enter your credit card information:
Name on card:
Card Security Code:
What is this?
As a security measure, your credit card will NOT be charged automatically when you submit this registration. A member of the Red Rock ELC staff will manually charge your credit card for the cost when he/she receives your registration.
Thank you for completing this application. Click on the "Submit" button below to send your application information to the director of the Red Rock English Language Centre.
Copyright 2010 Red Rock English Learning Center. All rights reserved. |