Request to join WSCC Belmont ASP Waiting List
* Required
Email address
*
Your email
Child's Last Name
*
Your answer
First Name
*
Your answer
ChineseName中文名
*
Your answer
Gender
*
F
M
Birthday
*
MM
/
DD
/
YYYY
The school year to sign up
*
2017-18
2018-19
2019-20
Elementary School
*
Choose
Burbank
Butler
WinnBrook
Wellington
Chenery
Other
Grade in sch year signed above
*
Choose
K
1
2
3
4
5
6
7
Language child speaks at home:
*
Mandarin
Cantonese
English
Other:
Required
Attending or plan to attend Weekend Chinese class
*
WSCC
NCLS
CCCC
Other
None
Parent Name
*
Your answer
Email
*
Your answer
Phone #
*
Your answer
Home Address
*
Your answer
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