Blue Sky Eschool Registration Form

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Your Name (FirstName LastName) *

Student Name (FirstName LastName) *

Your Phone Number (xxx-xxx-xxxx) *

Student Age and Current Grade *

Home Address *

Student Chinese Name

Preferred Class Time/Day (Please put multiples if possible)

Secondary Phone Number (xxx-xxx-xxxx)

Relationship With Student *

Mother

Father

Legal Guardian

How do you hear about us? *

Student Current School

By checking the Yes checkbox below and submitting this registration form, I (name entered in the first input question of this form), parent/legal guardian/representative for the person in Student (name entered in the second input question of this form), certify that I have read, understand and agree to the Terms of Use, Privacy Policy, and eSchool Policy which are fully incorporated herein and which are available at the following urls: Terms of Use: http://www.blueskyeschool.com/terms-of-use Privacy Policy: http://www.blueskyeschool.com/privacy-policy School Policy: http://www.blueskyeschool.com/policies Parent Agreement: http://www.blueskyeschool.com/parent-agreement *

Yes

Required

Submit

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