核果資訊學苑 2019暑期班 報名表
此為暑期常態班報名表。課程詳細資訊請見:http://nuts.epass2u.com/course.html

若要報名夏令營者,請至 https://forms.gle/hkevbQsyCjyE4Pgy6 報名

學員資料 Student's Information
姓名 Name *
Your answer
性別 Gender *
學校 School *
Your answer
年級 Grade *
請填寫暑假過後的年級。Please fill the grade after this summer vacation.
家長資料 Parent's Information
姓名 Name *
Your answer
連絡電話 Phone Number *
Your answer
通訊地址 Address *
Your answer
電子郵件 Email *
報名訊息等資訊皆透過電子郵件通知,請務必填寫可正常使用之電子郵件信箱。Please make sure the availability of email you filled here.
Your answer
報名課程 Courses to Register
可複選。課程詳細資訊請見:http://nuts.epass2u.com/course.html
新竹教室 Hsinchu Classroom
竹北高鐵教室 Zhubei-THSR Classroom
優惠資訊 Information for Discount
若您符合優惠條件,請填寫以下資訊方便我們進行確認。

早鳥優惠根據系統所收到的報名日期判斷:2019/4/21 (含) 前報名,可享 88 折優惠;2019/5/31 (含) 前報名,可享 9 折優惠

多人團報優惠 Discount for group registration
請填寫一同報名的其他學員姓名,我們會確認他們是否也有報名。Please fill the names who register the camp with you, if any.
Your answer
特約優惠 Discount for Special Contract Company/Community/School
若您服務的單位或居住的社區有與我們簽特約,請註明您服務的單位名稱或社區名稱。第一天上課時須出示相關識別證件以茲證明。
Your answer
舊生優惠 Discount for former student of Nuts
請填寫之前上過的核果課程或營隊名稱 (寫出課程關鍵字即可,例如"Python程式設計"可以寫"Python"就好)。Please fill the name or keyword of the courses/camps that you took in Nuts, if any.
Your answer
其他資訊 Other Information
請問您從哪裡得知核果的資訊?How did you find us? *
Required
請問您是否收過核果的紙本廣告單?Have you ever got our flyer? *
請問您參加過哪些核果的活動?Which event have you ever joined? *
Required
備註 Message to us
任何想說的話,都可以留在這裡喔!
Your answer
感謝您的報名,我們會盡速以電子郵件與您確認!Thanks for your registration, we will confirm with you via Email ASAP.
若3個工作天內沒有收到報名確認函,煩請主動聯繫我們,非常感謝您!
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