A+ Program 周六报名表 2023-2024 The A+ Program Saturday Application Form
*Only for those who don't fill in paper forms
【如已填写纸质报名表，无需重复再填】
New student application fee $30 新生报名费$30      
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Email *
Student Name 学生姓名: *
Sex 性别:
 *
Required
Date of Birth 出生日期
 *
MM
/
DD
/
YYYY
Grade 年级:
 *
Phone Number 电话:
 *
Home Address 家庭住址:
 *
Email Address 电子邮箱:
 *
Student Email 学生邮箱:
Guardian Name 家长姓名 *
Guardian Phone Number 家长电话 *
Name of School Attending现就读学校:
How did you hear about us?你是怎么听说A+的?
 *
Required
Class the student is signing up for 报名课程 (book fee and material fee are not included in the tuition 学费不包含书本材料费)
 *
Required
Month(s) 学期Fall term
 *
Location 上课地点 Comm Ave
 *
Required
Credit Card Payment 信用卡卡号
*Credit information is confidential, ASC will reaffirm before charges.
*您的信用卡信息将保密，ASC将在每次扣款前和您确认。
*I hereby give permission to ASC to charge the remaining balance for the session on the credit card listed, 1 week before each session begins.
*我允许ASC在每学期开学前一周,使用此信用卡收取剩余余额。
Expiration Date  到期日
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