Chinese School of San Marino Adult Mandarin Conversation 2021-2022 Registration Form
Simple and practical courses teaching conversational Mandarin to adults of all levels.

Date: 10/26/2021 to 02/22/2022 ( 13 weeks)

Time: Every Tuesday Morning at 10:30 am to 12:00 noon

Place : 2425 Huntington Dr., San Marino, CA 91108

Tuition: $220 for each semester

cssmacademic@gmail.com 626-796-5190

*After submitting, you will be receiving confirmation. Thank you!
**Please complete one for each student.
Student's English Full Name *
Student's Chinese Full Name
Student's Email Address *
Student's Phone Number *
Which working department you belong to ? *
When is your attending date ? *
I hereby give the Chinese School Of San Marino permission to use photographs/ video/ sound of the adult and the minor(s) named below for publicity, promotion, news releases, videos, advertisements and web use of the Chinese School Of San Marino. This might also apply to written compositions or visual art pieces of minors if they are published. I hereby release and discharge the Chinese School Of San Marino from any and all claims arising out of the use of the photography/ video/ sound that I or the minor(s) listed may have in this regard. *
Emergency Contact /Phone No. *
Electronic Signature/Date *
The electronic signature below and its related fields are treated by Chinese School of San Marino like a handwritten signature on the paper form. I affirm that all the information provided is true and correct to the best of my knowledge.
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