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2024-25 San Bruno Chinese Church-Chinese Class Registration Form - 中文班报名表
上课时间/Class Time: 星期六/Saturday 10:00-11:30
上课地点
: 活泉华人教会/San Bruno Chinese Church
地址/Address: 250 Courtland Dr, San Bruno, CA 94066
Contact us at
(650) 589-9760
or evelyn.koon@sanbrunochinesechurch.org (
官林长青师母
）
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* Indicates required question
Email
*
Your email
家长或监护人姓名
Name of Parent or Guardian
*
Your answer
学生姓名 (中文/英文)
Student's name (Chinese/English)
*
Your answer
出生日期
Date of Birth
*
MM
/
DD
/
YYYY
年龄(岁)
Age (year-old)
*
5
6
7
8
9
10
Other:
现在就读
学校
School currently attending
*
Your answer
年级
Grade
*
幼稚园/Kindergarten
一年级/1st
二年级/2nd
三年级/3rd
四年级/4th
五年级/5th
Other:
居住地址
Home Address
*
Your answer
緊急联络电话
Emergency Contact Phone Number
*
Your answer
紧急联络人与学生之关系
Relationship of the Emergency Contact Person
*
父 Father
母 Mother
祖父/外祖父 Grandfather
祖母/外祖母 Grandmother
Other:
有任何特殊敏感症
Allergies or other medical issues
:
*
Your answer
想学的字
体
Fonts you want to learn
*
繁體 (Traditional)
簡体 (Simplified)
学生中文程度
Proficiency in Chinese
*
没学过中文/Never Learn Chinese
简单的词汇/Simple vocabulary
基本对话/Basic conversation
可以流畅的对话/Fluent conversation
听说读写都会/ Advanced in listening, speaking, reading and writing
Required
宗教
Religion
*
基督教/Christian
天主教/Catholic
没有宗教/No Religion
Other:
所属教会
Name of Home Church
Your answer
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