Chinese Pathway Registration Form (2019-20)
Location: Ohlone Elementary School (950 Amarillo Ave, Palo Alto, CA 94303)
Time: Saturday 2-3:55pm

If your child is currently enrolled in our program, you only need to fill in the required information (those with *).
Parents of new students need to fill in the complete information.

Email address *
Student Name *
Your answer
Date of Birth *
Your answer
School *
Your answer
Grade (as of Sept. 2019) *
Your child is: *
Home Address
Your answer
City and Zip Code
Your answer
Mandarin Language Learning History:
Your answer
Additional Information (e.g. allergies, special requests, notes)
Your answer
Parent/Guardian's (1) Name
Your answer
Parent/Guardian's (1) Relationship to Child
Parent/Guardian's (1) Phone Number
Your answer
Parent/Guardian's (1) Email
Your answer
Parent/Guardian (2) Name
Your answer
Parent/Guardian's (2) Relationship to Child
Parent/Guardian's (2) Phone Number
Your answer
Parent/Guardian's (2) Email
Your answer
Session Participation (choose both if two sessions): *
Class for your child *
Payment Information: *
Required
Any other comments?
Your answer
Signature: *
Your answer
Submit
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