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Chia Seed 2025 -2026 STEAM/Mandarin Program
CSLC Sign Up Form
Please fill in the following form to sign up for Chia Seed learning center 2025-2026 program. Please do not refresh this form otherwise your partially filled response will be lost. Clicking "Back" and "Next" will keep your input intact.
After submitting this form, an email receipt will be sent to the following email address.
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Your Email Address
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Student's Name
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Student's Gender
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Date of Birth
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School He/She Attended in 2023-2024
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Home Address (City and zipcode)
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Parent/ Guardian's Name
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Cellphone
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Important Medical Limitations and Special Conditions (Allergies, Asthma, Nearsightedness, etc)
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Which Program Do You Want to Sign-up
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Preschool (Full Day 9am~3pm)
Preschool (Half Day 9am~12pm)
In-home Pod
Winter/Thanksgiving Camp Program (Full Day 9am~5pm)
Half Camp Program (Half Day 9am~12pm, or 1pm~4pm)
After School Program (on-site)（2:30pm-5:30pm）
Weekend Saturday Class
Professional Training for ECE
Hermosa City School On-site MIE After School
Other:
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Sign-up for Earlier Care and After care(8:30-5:30)
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Mandarin Level
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No Prior Experience
Basic
Conversant
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