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West Valley Chinese Academy Enrollment Form 2022-2023
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* Required
Email
*
Your email
Student: First Name (English)
*
Your answer
Student: Last Name (English)
*
Your answer
Student: Chinese Name
Your answer
Student: Date of Birth
*
MM
/
DD
/
YYYY
Student: Gender
Female
Male
Other or Decline to State
Clear selection
Student: Ethnicity of Hispanic and Latino origin or descent?
Yes
No
Clear selection
Student: Please check one or more of the following groups in which the student considers themselves to be a member of.
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
Other:
Student: Returning or New to WVCA
*
New Student
Returning Student
Student: Regular School Grade Level for 2022-2023
Choose
Preschool
Pre-K
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
N/A
Student: WVCA Class Assignment for the 2022-2023 School Year
*
Parent and Me
Book K
Book 1
Book 2
Book 3
Book 4
Book 5
Book 7
Book 8
Book 9 & AP Preparation
Would you like to enroll an additional student?
*
Yes
No
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