Easy321 Online Student Registration Form 易學堂新生線上報名表
我們收到報名表後, 會盡快與您聯繫!
Student's English Name 英文姓名 *
(First and Last name)
Your answer
中文姓名
(Chinese Name, if applicable)
Your answer
Gender 性別 *
Required
Day School Grade 日校年級 *
Registrant must be Grade 3 and up 新生報名需日校三年級或以上
Your answer
Day School Name 日校校名 *
Your answer
Language Spoken at Home 家庭使用語言 *
Required
Have your child learned Mandarin before? 貴子女是否學過國語 / 普通話? *
Required
Name of Contact Person 聯絡人姓名 *
Your answer
Contact Email 聯絡電郵 *
Your answer
Contact Phone 聯絡電話 *
Your answer
Name of Referrer 介紹人姓名
Referrer will receive $25 referral fee, if applicable
Your answer
Class Selection - Starting January, 2020 *
Preferred Class Time for Future New Opening - Optional (可選擇多項)
Please let us know your availability for future new classes. 1.5 Hrs per class once a week. See School Calendar on Easy321 web main page for class dates and holidays. 每週每節課1.5 小時,請到易學堂網站首頁參考上課及放假日期
Note 備註
Your answer
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