Chinese Pathway Registration Form (2017-18)
Location: Ohlone Elementary School (950 Amarillo Ave, Palo Alto, CA 94303)

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.

Chinese Pathway Flyer 17-18
Student Name *
Your answer
Date of Birth *
Your answer
School *
Your answer
Grade (as of Sept. 2017) *
Home Address
Your answer
City and Zip Code
Your answer
Mandarin Language Learning History:
Your answer
Additional Information (e.g. allergies, special requests, notes)
Your answer
Parent/Guardian's (1) Name
Your answer
Parent/Guardian's (1) Relationship to Child
Parent/Guardian's (1) Phone Number
Your answer
Parent/Guardian's (1) Email
Your answer
Parent/Guardian (2) Name
Your answer
Parent/Guardian's (2) Relationship to Child
Parent/Guardian's (2) Phone Number
Your answer
Parent/Guardian's (2) Email
Your answer
Session Participation: *
Required
Class for your child
Class time for your child (check all that apply): *
Required
Payment Information *
Required
Any other comments?
Your answer
Write your total payment here (submit check titled to "Chinese Pathway LLC", 147 Sunset Ave, Sunnyvale, CA 94086 )
Your answer
Signature: *
Your answer
Submit
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