Request edit access
Hua Xing Chinese School Registration Form
Sign in to Google to save your progress. Learn more
注册学期 (Semester): *
Student English Name (LAST, FIRST): *
学生中文姓名 (Chinese Name, if apply): *
是否新生 (New Student?) : *
是 (yes)
否 (no)
Select
中文注册课程/班级 (Chinese Classes) : *
Required
才艺体课名称 (Enrichment Classes): *
Required
俱乐部 (Clubs): *
Required
中文书和练习册(Textbook and Practice Book) : *
Required
家庭住址 (Home Address): *
城市(City), 州(State), 邮编 (Zipcode): *
住宅电话(Home phone): *
父母1 (Parent 1): *
职业 (Occupation): *
Email *
Please input communication email to receive registration confirmation, school newsletters, etc.
手机(Cell Phone): *
父母2 (Parent 2): *
职业(Occupation): *
Email 2 *
手机(Cell Phone): *
Photo Release Permission *
As a parent or guardian of this student, I hereby consent to the use of photographs/videotape taken during enrollment/attendance of Hua Xing Chinese School for publicity, promotional and/or educational purposes (including publications, presentation or broadcast via newspaper, internet or other media sources). I do this with full knowledge and consent and waive all claims for compensation for use, or for damages.
Agreement (is needed for this registration, if you have questions please stop) *
Code of Conduct *
E-Signature          {in Format: /*Your Name*/} *
Parent/Student is cautioned to avoid submitting personal information not required in HuaXing registration that may contribute to identity theft. Personal information such as social security numbers, bank account numbers, or credit card numbers is never required by HuaXing. If you are ready to submit for registration, please enter your name as your electronic signature. Please use the specific format: /* Your Name */
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy