Vermont Chinese School Student Registration
School Year 2019-2020
School Address: South Burlington High School 550 Dorset Street, South Burlington, VT 05403
Contact us at (419) 230-1588 or vtchineseschool@gmail.com
Email address *
Student's Name (First and Last Name) *
Your answer
Address *
Your answer
Birthdate *
MM
/
DD
/
YYYY
Gender *
Parent/Guardian's Name 1 (First, Last Name)
Your answer
Parent/Guardian's Email 1
Your answer
Parent/Guardian's Phone 1
Your answer
Parent/Guardian's Name 2 (First, Last Name)
Your answer
Parent/Guardian's Email 2
Your answer
Parent/Guardian's Phone 2
Your answer
Which session(s) will you attend? *
Required
Class *
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