Chinese Pathway Registration Form (2020-21)
Location: Ohlone Elementary School (950 Amarillo Ave, Palo Alto, CA 94303), Zoom Class Fall Semester
Time: Saturday 2-3:50pm
Website: Chinesepathway.com


If your child is currently enrolled in our program, you only need to fill in the required information (those with *).
Parents of new students need to fill in the complete information.

Email address *
Student Name *
Date of Birth *
School *
Grade (as of Sept. 2020) *
Your child is: *
Home Address
City and Zip Code
Mandarin Language Learning History:
Additional Information (e.g. allergies, special requests, notes)
Parent/Guardian's (1) Name *
Parent/Guardian's (1) Relationship to Child *
Parent/Guardian's (1) Phone Number *
Parent/Guardian's (1) Email *
Parent/Guardian (2) Name
Parent/Guardian's (2) Relationship to Child
Clear selection
Parent/Guardian's (2) Phone Number
Parent/Guardian's (2) Email
Session Participation: *
Class for your child: *
If referred by an existing Chinese Pathway family, please list the student of the referring family (discount for both families):
Payment Information (note: if Zoom class, 15% tuition will be refunded): *
Required
Calculate your total payment above: *
Any other comments?
Signature: *
Submit
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