FCS 2019-2020 Registration Form

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費利蒙中文學校2019-2020學年註冊表(v.20190326)

A confirmation email will be sent to the email address you provided above while this form is submitted. 當你送出此表後，一封確認信將會送到上述你所提供的電子郵件中。

Student Type 學生類型

Normal student (一般學生)

Adult Student (成人學生)

Student Info 註冊學生資料

FCS Student ID 學生學號 *

New Student is '00000' (新生請填‘00000’)

First Name 英文名 *

Middle Name 英文中間名

Last Name 英文姓 *

Chinese Full Name (if any)

中文全名（如果有）

Birthday 生日 *

Please verify "Birth Year" you select. PK student must be born before 9/2/2015. Please refer FUSD chart of grade: http://tinyurl.com/y2zlyk4f

YYYY

Gender 性別 *

Home Address - Street number and Name, Suite# etc. *

通訊住址－街道號碼，名稱，房間號等

City 城市 *

State 州 *

Other:

Required

Zip Code 郵遞區號 *

Contact Phone number 連絡電話 *

If more than one, please use ; symbol to separate. (若有多個，請用 ; 符號分開。)

Emergency contact info 緊急聯絡資訊

Emergency Contact Name / Relationship to student *

緊急聯絡人姓名/ 與學生關係

Emergency Phone 緊急聯絡電話 *

If more than one, please use ; symbol to separate. (若有多個，請用 ; 符號分開。)

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