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XingYing-StarAcamp Online Summer Chinese Classes Sign-Up Form
Classes will start July 6th for a total of 6 weeks. Students will meet online for one hour each week in a small group setting.
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Student Last Name
*
Your answer
Student First Name
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Your answer
Student Date of Birth
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MM
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DD
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YYYY
Student Chinese Learning Experience
Up to 3 years in Chinese Classes (non-immersion)
Up to 6 years in Chinese classes (non-immersion)
7 years or more in Chinese classes (non-immersion)
Up to 3 years in Chinese immersion classes
4 years or more in Chinese immersion classes
Student speaking Chinese at home
Other:
List current and previous Chinese programs or schools attended
Your answer
Parent/Guardian Name (Firstname Last Name)
*
Your answer
Email
*
Your answer
Phone number
*
Your answer
Home Address
*
Your answer
I am intending to register for the following classes:
Chinese songs - Level 1
Chinese songs - Level 2
Chinese classical poems - Level 2
Chinese classical poems - Level 3
Chinese proverbs and stories - Level 3
Chinese proverbs and stories - Level 4
Other:
Best time for the online class
Weekdays A.M.
Weekdays P.M.
Saturdays A.M.
Saturdays P.M.
Sundays A.M.
Sundays P.M.
Anytime
Other:
Questions or Comments
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If another student recommended this class to you, please list his or her name here.
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