雷丁中文学校学生注册表2018-19
Reading Chinese School Student Registration Form 2018-19
Section 1) Student Information 学生资料
1.1 中文姓名 Chinese Name (Surname + Given Name)
Your answer
1.2 English Family Name 英文姓氏 *
Your answer
1.3 English First Name 英文名字 *
Your answer
1.4 Nick Name 别名 (also known as)
Your answer
1.5 Date of Birth 出生日期 *
MM
/
DD
/
YYYY
1.6 Gender 性别 *
1.7 请填写目前所在班级 和老师名字 For existing student, which class are you currently in (Class Code, Teacher Name ): *
1.8 请填写預計18-19年班級 which class will you be going (Class Code ):
1.9 Occupation 职业 (for Adult Student 成人学生)
Your answer
1.10 Special needs (also includes health, dietary) 特殊需求,请在此包括特殊健康情况以及饮食禁忌 *
Section 2) Contact Information 联系方式
2.1 Primary Contact Email 主要联系电子邮件 *
Your answer
2.2 Primary Phone number 电话号码 *
Your answer
2.3 Home Address 家庭地址 *
Your answer
Section 3) 家长/监护人资料 PARENT / GUARDIAN DETAILS
Put 'NA' in below fields if you are registering as adult student (over 18 years )
3.1 家长/监护人-1: 姓名 Parent/Guardian-1 Name *
Your answer
3.2 家长/监护人-1 与学生的关系 Relationship *
Your answer
3.3 家长/监护人-1: 职业 Occupation *
Your answer
3.4 家长/监护人-1:电邮地址 Email Address *
Your answer
3.5 家长/监护人-1: 联系电话 Phone Number *
Your answer
3.6 家长/监护人-2: 姓名 Parent/Guardian 2: Family Name, First Name
Your answer
3.7 家长/监护人-2:与学生的关系 Relationship
Your answer
3.8 家长/监护人-2: 职业 Occupation
Your answer
3.9 家长/监护人-2: 电邮地址 Email Address
Your answer
3.10 家长/监护人-2: 联系电话 Phone Number
Your answer
Section 4) 紧急联络人资料 EMERGENCY CONTACTS DETAILS
(如果與家長/監護人信息相同,請略過此部分。Skip this section if using same information as parent/guardian's)
紧急联系人1: 名字 Emergency Contact-1: Name
Your answer
紧急联系人-1: 电话号码 Emergency Contact -1: Phone
Your answer
紧急联系人 -2: 名字 Emergency Contact-2: Name
Your answer
紧急联系人-2: 电话号码 Emergency Contact-2: Phone
Your answer
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