Request edit access
  信实教育网课报名表  Herder Academy Online Tutoring Registration Form( Sept - Dec 2023)
Sign in to Google to save your progress. Learn more
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 *
List  all the subjects of interest  填写所有选择课程 *
Emergency contact name and phone number 紧急联系人姓名和电话 *
                                                         Payment 收费方式
e-transfer to 电子转帐到:         herderacademy@gmail.com


One term is about 3 months, 2 sessions per week. 每周2次课,3个月一期。
Tuition fee for a one-on-one session:一对一辅导收费:
Gr.1-6 : $35 per hour                      1-6年级: 每次1.5 小时课程,每小时 $35 
Gr. 7-12: $45 per hour                    7-12年级  每次2小时,每小时 $45 

Tuition fee for a group session:    小组课程
Gr.1-6: $15 per hour                       1-6年级: 每次1.5 小时课程,每小时 $15 
Gr. 7-12: $20 per hour                    7-12年级  每次2小时,每小时 $20   

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.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report