New York Chinese Cultural Center Registration Form
After completing the form, our School Director will follow up with you about payment and with more information.
Student's First Name *
Student's Last Name *
Email *
Cell phone *
Parent First & Last Name (put n/a if not applicable) *
Student Age *
Class Selection(s) Late registrations will be prorated *
Student #2 First Name
Student #2 Last Name
Student #2 Age
Student # 2 Class Selection(s) *
Home Phone number
Emergency Contact Name *
Emergency Contact Phone Number *
Are there any special needs we need to be aware of?
How did you hear about us
I agree to the Terms & Conditions: *
I agree to the following: *
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