Class Registration Form
Vietnamese Language and Culture
Please complete a form for each student
Registration due: SEPTEMBER 7, 2019
Parent's Name
Your answer
Email
Your answer
Phone Number (to be used in emergency)
Your answer
Emergency contact, (if not parent) name
Your answer
Student's Name
Your answer
Student's Age
Your answer
Student's School
Choose
Burnett Elementary
Curtner Elementary
Mattos Elementary
Pomeroy Elementary
Randall Elementary
Rose Elementary
Sinnott Elementary
Spangler Elementary
Weller Elementary
Zanker Elementary
Rancho Middle School
Russell Middle School
Student's Language Experience
Choose
No experience in Vietnamese
Little experience in Vietnamese
Can read Vietnamese
Can read and write Vietnamese
Fluent in Vietnamese
Submit
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