北一女星期日舞蹈班報名
時間:星期日 早上10:30-12:00
地點:Cubberley Community Center, Room L3
4000 Middlefield Road, Palo Alto, CA94303
指導老師:陳萍
英文姓 (Last Name) *
Your answer
英文名 (First Name) *
Your answer
中文姓名 *
Your answer
畢業年次 (若非北一女校友請寫"N/A")
Your answer
是否為北加州北一女校友會會員? *
Required
電話 (XXX-XXX-XXXX): *
Your answer
Email *
Your answer
地址 *
Your answer
選課期別 *
緊急聯絡人 (Last, First): *
Your answer
緊急聯絡電話 (xxx-xxx-xxxx): *
Your answer
費用
學費-每學期:會員 $80, 非會員 $90;Walk-in 每次 $12.

支票請付給: TFGHAA-NC, 並且註明"週日舞蹈班"`; 請將支票寄至TFGHAA-NC, P. O. Box 2304, Cupertino, CA 95015

Required
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms