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Chinese Application for 826 Valencia Mission Bay Center/申请826瓦伦西亚使命湾中心
If you are interested in our free after school writing and tutoring programs that will be offered in spring 2019 in Mission Bay (1300 4th Street), please fill out this short interest form and we will contact you.

如果您对2019年春季在Mission Bay(第四街1300号)提供的免费课后写作和辅导课程感兴趣,请填写此简短的兴趣表格,我们将与您联系。

Email address *
Parent/Guardian's full name. 家长/监护人的全名。
Your answer
Child's full name. 孩子的全名。
Your answer
Child's birthdate. 孩子的出生日期。
Your answer
What is your email? 你的电子邮箱是什么?
Your answer
What is your phone number? 你的电话号码是什么?
Your answer
What is your home address? 你的家庭住址是什么?
Your answer
How did you hear about this program? 你是怎么听说这个节目的?
Your answer
Does you family qualify for free and reduced price lunch at school? 你有资格在学校享受免费和优惠午餐吗?
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