YAYAKIDS兒童流行舞恆常班報名表
Email address *
學生資料 Student information
小朋友中文姓名(全寫) Kid's Chinese Full Name *
Your answer
小朋友英文姓名(全寫) Kid's Eng Full Name *
Your answer
小朋友匿稱 Kid's Nick Name
Your answer
出生日期 DATE OF BIRTH *
*請準確填寫"出生年份" !!!
MM
/
DD
/
YYYY
性別 Sex *
監護人姓名 Guardian Name *
Your answer
聯絡電話 Contact Number *
Your answer
居住區域 Residential District *
Your answer
參與課程編號 Program code *
四人開班 Course will be opened if over 4 people registered. 如需缺席可於有效期前順延上課時間 If student absents in any class, you can postpone the coupon to the next lesson before the expiry date.
你是否曾經參與我們的課程或暑期班? *
Next
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.