Unic new student Registration form
Email *
Parent/Guardian name *
Parent/Guardian phone# *
Parents Wechat Name
Student First Name *
Student Last Name *
Student Grade (Current Grade) *
Student school *
Course Code- 1st course *
Course Code- 2nd course
Course Code - 3rd course
Please write down your preferred course & time, if you cannot find one from our schedule table. We will try to help you.
Student Gmail address *
Please let us know if the student has special needs
Student Address (city)
A copy of your responses will be emailed to the address you provided.
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