Mulan Chinese School - Winter Camp
木兰中文 冬令营
Address: 13224 Franklin Farm Rd, Herndon, VA 20171
         Mulan Chinese Care
Student Full Name & Chinese Name *
E.g. James Zhang, 张杰士
School *
Grade (prek, K, 1-12) *
Parent1/Guardian1 Last Name, First Name, M *
Home Address *
e.g: 1234 Lincoln Ave, Apt 2208, Fairfax, VA, 2203
Cell Phone *
e.g 703-xxx-xxxx
Home Phone *
e.g 571-xxx-xxxx
Email address *
Wechat ID
We use WeChat a lot for communication, besides email and phone calls.
Parent2/Guardian2/Emergency Contact: Last Name, First M *
Cell Phone *
e.g. 703-xxx-xxxx
Email *
Wechat ID
Please select camp option below. Please add lunch $5/day.
Payment
Please pay first day on site with check or pay by Paypal to Mulanlearning@gmail.com
Submit
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