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Herder Academy （Sept - Dec 2023 Homework Help Program Registration) 信实教育线下课后辅导报名表格 
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Email *
Student's First Name 名 *
Student's Last Name 姓 *
Parent/ Guardian's Contact Number 手提電話 *
Parent/ Guardian's Email 電子郵箱 *
Student's Age 年齡 *
Student's Grade 年級 *
Emergency contact name and phone number 紧急联系人姓名和电话 *
Tuition Fee：
No registration fee required.
$20 per day (3pm to 6pm) on weekdays. 
$60 full day on P.A. Day, March Break, Winter Break
2023 School term: Sep 8 - Dec 20

学费：
免报名费
$20 每天 （周一到周五下午3点到6点）
$60 全天在 P.A. Day, March Break, Winter Break

By completing this form, you agree to be contacted by phone or email to confirm registration and payment. If you have any questions, please email us at herderacademy@gmail.com
您填写这个表格的同时，代表您已经同意我校方通过电话或者电子邮件联系您。如果您有任何问题，请联系我校的地址邮件如下：herderacademy@gmail.com

Please type your full name (parent/ guardian's name) below to indicate completion and understanding of this form.
如果您是关于此报名表格学生的法定监护人并同意此表格内容，请写上您的姓名如下
A copy of your responses will be emailed to the address you provided.
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