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2026 补习中心报名表 Tuition Centre Registration Form 2026
请填写以下资料。提交后，我们将通过 WhatsApp 或电话联系您，确认学生资料、课程名额及上课时间。
名额有限，先到先安排。

English:
Please complete the form below. After submission, we will contact you via WhatsApp or phone to confirm the student’s details, class availability, and schedule.
Limited slots available. First come, first served.
Sign in to Google to save your progress. Learn more
Are you a new or existing customer? *
学生资料 / Student Information
学生姓名 / Student Name *
Please enter the product number
学生年龄 / Age *
 生日日期 / Date of Birth *
MM
/
DD
/
YYYY
就读年级 / Current Grade *
Required
就读学校 / School Name *
👨‍👩‍👧 家长资料 / Parent or Guardian
家长姓名 / Parent Name *
联络电话 / Contact Number *
电邮（选填） / Email (Optional)
📚 课程选择 / Programme Selection
请选择您感兴趣的课程（可多选） Please select the programme(s) you are interested in (multiple choices allowed): *
Required
若您选择【配套 B｜安亲补习】，请在下方选择孩子需要补习的科目、上课天数及时间。 If you choose Package B | After-School Tuition, please select the subject(s), number of days, and preferred class time below.
📅 上课天数 / Number of Days per Week
Clear selection
📅 上课天数 / Class Days 请选择上课天数（可多选）Please select the class day(s) (multiple choices allowed):
📖 科目选择 / Subject Selection
若您选择【配套 C｜单科补习】，请帮忙选择孩子需要加强的科目。If you choose Package C | Subject-Based Tuition, please select the subject(s) your child needs help with.
📖 科目选择 / Subject Selection
需要补习的科目（可多选） Subjects needed (multiple choices allowed):
⏰ 上课时间偏好 / Preferred Time Slot
Clear selection
🚌 接送服务 / Transportation
是否需要接送服务？ Do you require transportation service?
Clear selection
接送地点（如需要） Pick-up Location (if applicable)
📝 学习情况（选填）/ Learning Notes (Optional)
请简单说明孩子目前的学习情况或困难 Please briefly describe the student’s learning challenges (if any):
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