Spring 2016 MCA Hybrid and Online Chinese Classes Sign-Up Form
Minnesota China Academy offers hybrid and online Chinese classes to students of different levels and backgrounds
Student Last Name *
Your answer
Student First Name *
Your answer
Student Date of Birth *
For adult students, choose 1900 as the birth year for confidentiality.
MM
/
DD
/
YYYY
Gender *
Parent/Guardian Name (Firstname Last Name) *
Your answer
Email *
Your answer
Phone number *
Your answer
Home Address *
Your answer
Student Chinese Learning Experience
For Non MCA Students
List current and previous Chinese programs or schools attended
Your answer
Children or Adult Class
Types of Chinese Classes to Sign Up For:
Level of Chinese Classes to Sign Up For:
Other Classes
Best time for the online class
Questions or Comments
Your answer
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