2019 ChongWa Summer Language Camp Online_Registration

522 7th Ave. S., Seattle, WA 98104, Phone: 206-623-2527 or (425) 281-6131
http://ChongWaSchool.org email: principal@chongwaschool.org

Student English Name (英文名字) *
Your answer
Student Chinese Name (中文名字)
Your answer
Age
Your answer
Address (地址) *
Your answer
City *
Your answer
Zip Code: *
Your answer
Home Phone (電話) *
Your answer
Cell Phone (手機)
Your answer
E-mail (電郵)
Your answer
Guardian Name (監護人) *
Your answer
Guardian Phone (監護人 電話) *
Your answer
Guardian E-mail (監護人 電郵)
Your answer
Person Picking Up Child (接小孩下課的家長) 1: *
Your answer
Contact Phone for 1st Person picking up child: *
Your answer
Person Picking Up Child (接小孩下課的家長) 2 (if any):
Your answer
Contact Phone for 2nd Person picking up child (if any):
Your answer
Emergency Contact (緊急聯絡人): *
Your answer
Emergency Contact person's phone (緊急聯絡人的電話): *
Your answer
2019 Summer (夏令營): 7/22 to 8/9 for 3 weeks *
-- Half Day from 9:00 to 12:00, Monday to Friday
Required
Total Tuition Due: *
Your answer
Payment options after submitting this online registration form *
Mail the check to "2019 Chong Wa Summer School" 522 7th Ave. S., Seattle, WA 98104 (Payable to ChongWa Chinese School)
Required
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