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2017 AST Reach for the Stars Summer Camp 台中美國學校夢想星旅程夏令營
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Student’s Chinese Name 學生中文姓名
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Student's English Name 英文姓名
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Student's date of birth 學生生日
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Student's ID Number 身分證字號
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What Grade is the Student Going Into? 暑假後學生年級?
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Parent Name 家長姓名
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Phone Number 連絡電話
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Email
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Mailing Address 通訊地址
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Would you like AST to provide healthy lunches? 需要學校提供免費營養午餐嗎?
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Please list any allergies (ex. food, medicine, insects) 有任何過敏現象(例: 食物, 藥, 昆蟲) 請備註
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How Fluent Is Your Child's English? 孩子的英文程度如何?
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Does the Student Need Bus Transportation?  (The bus fee is not included in the cost of the summer camp. Transportation to and from school is $400NT per day for a total of $6000NT for the duration of the summer camp). 學生是否需要校車接送?(交通費並沒有包含在學費當中，如需校車接送，每日一趟來回為400元新台幣，整期夏令營的交通費用為六千元整。)
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Bus Stop 校車站
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How did you hear about us? 請問您是如何知道我們的?
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Other 其他
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Referred by others 其他人介紹, 介紹人姓名:
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To qualify for group rate, please list the names of students to sign up with. 請列出同享聯合報名優惠的學生姓名
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優惠方案 promotional use
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What size T-shirt does your child wear? 學生T-shirt 尺寸? (summer camp 贈送 Free Gift)
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Any notes? 註明
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