New York Chinese Cultural Center Registration Form
After completing the form, our School Director will follow up with you about payment and with more information.
Sign in to Google to save your progress. Learn more
Student's First Name *
Student's Last Name *
Email *
Cell phone *
Parent First & Last Name (put n/a if not applicable) *
Student Age *
Class Selection(s) Late registrations will be prorated *
Required
Student #2 First Name
Student #2 Last Name
Student #2 Age
Student # 2 Class Selection(s) *
Required
Home Phone number
Emergency Contact Name *
Emergency Contact Phone Number *
Are there any special needs we need to be aware of?
How did you hear about us
I agree to the Terms & Conditions: *
Required
I agree to the following: *
Required
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of New York Chinese Cultural Center. Report Abuse
Google Forms