Registration 南灣兒童讀經班 2022秋季註冊

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South Bay Children's Chinese Classics Recitation Classes -
2022 Fall Session 秋季班 (9/18/2022- 12/11/2022)

Student Name/學生姓名 (English英文 /Chinese中文) *

Birthday 生日 *

YYYY

Father's Name 爸爸姓名 *

Father's cell phone 爸爸聯絡電話 *

Mother's Name 媽媽姓名 *

Mother's cell phone 媽媽聯絡電話 *

Contact Email Address 聯繫電子郵件 *

Address 地址 *

Emergency Contact Phone Number (besides parents)緊急聯絡電話 (爸媽外的第三位) *

Emergency Contact Name /Relationmship 緊急聯絡人名字 & 關係 *

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