Mingyuan Chinese School Fall 2016/Spring 2017 Registration Form
Dear Parents,

Please help us streamline the registration process by filling out an online form below. Our fall semester will start on September 17, 2016.

Tuition is $250 for 15 weeks of classes on Saturdays from 9:15am - 12pm. (We will pro-rate if you start late). Siblings get $5 discount for the first one and $10 for the second one, and so on. Adult classes are $200 each. Tuition will increase by $10 after September 17, 2015.

Cancellation Policy: Pro-rated refund less $10 processing fee.

Please write a check payable to Mingyuan Chinese School and mail it to 743 N 66th Street, Seattle, WA 98103. We also offer paypal payment but will charge 3% more to cover the fees. Thank you!

Student's Last Name *
Your answer
First name *
Your answer
Date of Birth *
Please enter as MM/DD/YYYY
Your answer
Gender *
Food Allergies *
Your answer
Parent 1's Name
Your answer
Parent 1's Cell Phone
Your answer
Parent 1's Email
Your answer
Parent 2's Name
Your answer
Parent 2's Cell Phone
Your answer
Parent 2's Email
Your answer
Mailing Address
Your answer
Emergency Contact Person *
Your answer
Emergency Phone *
Your answer
Languages Spoken at home
Your answer
Chinese Language Proficiency *
Tuition *
Please tick the applicable box.
Payment Method *
Submit
Never submit passwords through Google Forms.
This form was created inside of Mingyuan Evergreen Chinese School. Report Abuse - Terms of Service