SSL Class Registration 2023 Please provide your contact information to register for class Click here to make your payment of $75. Your payment is due with this form to finalize your class registration and reserve your spot in the class. ¡Tantas gracias!Student Name(Required) First Last Level(Required) HiddenDo you prefer morning or evening classes? Please choose the class for which you are registering(Required) Morning SSL – Level 1 (Tuesdays and Thursdays (9:30 am – 11 am) Evening SSL – Level 1 (Mondays 5-6:30 pm) – via Zoom Evening SSL – Level 2 (Wednesdays 5-6:30 pm) – in person Evening SSL – Level 2 (Wednesdays 5-6:30 pm) – via Zoom Note: Evening SSL – Level 1 (Mondays 5-6:30 pm) – in person is FULLStudent Status(Required) Returning Student Returning Student but information has changed New Student If you registered for classes the previous semester and your information has not changed since you registered, please check above and proceed to the payment page. Age(Required) Phone Number(Required)Contact methods(Required) Phone Call Text Message Email Choose all that you useText Notifications(Required) Yes No Do you accept text messages from Roosevelt Park Ministries used for classes/event updates for our students/members? 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Note: Child care option is only available for morning classes.(Required) Yes No How many children?(Required)Child's name(Required) First Last Age(Required) Child's name First Last Age Child's name First Last Age Child's name First Last Age What is your nationality / race / ethnicity?(Required) What is your family's annual income?(Required) Less than $15k $15k – 24k $25k – 34k $35k – 49k $50k – 74k $75k – 99k $100k – 149k $150k – 200k More than $200k How many people are in your household (family)?(Required) If you do not work, use the income of the person who supports you. This information will not be disclosed to any government institution or associates.Check here if you give us permission to have photos taken of you and used in any social media platforms and website, public relations material, or publications that may be affiliated with Roosevelt Park Ministries including, but not limited to newsletters.(Required) Yes No How did you hear about us?(Required) Please read the Roosevelt Park Ministries Class Terms. Click to view PDF.I have read and understand the class etiquette and protocol and I understand the Class Terms of Roosevelt Park Ministries.(Required) Yes Print Name(Required) Date(Required) MM slash DD slash YYYY Have you paid the $75 registration fee?(Required) Yes No Your enrollment will not be complete or submitted to the class list until payment is received.Your payment of $75 is due with this form to finalize your class registration and reserve your spot in the class. ¡Tantas gracias!
