忠恕親子讀誦經典班 - 2021秋季班報名表
Student Name / 學生姓名 *
Child's First and Last Name
Student's Nickname / 學生小名或中文名 *
(ex: Nickname or Chinese Name)
Student's Birthday / 學生生日 *
(For celebrating birthday together)
MM
/
DD
/
YYYY
Mother / Primary Guardian Name *
媽媽或監護人1姓名
Mother / Primary Guardian Phone # *
媽媽或監護人1連絡電話
Mother / Primary Guardian Contact Email *
媽媽或監護人電子郵件
Father / 2nd Guardian Name
爸爸或監護人2姓名
Father / 2nd Guardian Phone #
爸爸或監護人2連絡電話
Father / 2nd Guardian Contact Email
爸爸或監護人2電子郵件
Any other information that you think we should know about the child. / 其他
Add anything you would like the teacher to know in advance.
請寫下是哪位好友介紹忠恕親子班給你? Please list out who introduces Zhong Shu Family Group to you? *
Media Release Form *
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