Amax Academy 2024 Summer Program Registration 暑期夏令营报名表
Date: 6/10 - 8/16 (10 weeks)

One form per child.

Please note: Submitting this form does not guarantee a spot for your child, until you submit a non-refundable $100 deposit. After submitting this form you will receive a quote and other info within 24-48hrs.

Phone: (626)288-6893
Email: amaxacademysg@gmail.com
Sign in to Google to save your progress. Learn more
Parent/Guardian's Name (First/Last) 家长姓名 *
Parent/Guardian's Phone Number  家长手机号码 *
Relationship to Child 和学生的家庭关系 *
Parent/Guardian's Email 家长电子邮箱 *
Home Address 家庭住址 *
Student's Information 学生基本信息
Student's Name (First/Last)  学生姓名 *
Student's Birthday 学生出生年月 *
MM
/
DD
/
YYYY
Student's Gender 学生的性别 *
Child's Primary School 现就读学校 *
Child's Grade Level (Upcoming) 学生新学年年级 *
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms