JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
2023 PANO Linkou Enrollment Form 課程報名表
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Student full name 學生的全名
*
Your answer
School 就讀學校
*
Your answer
Grade 年級
*
Your answer
Course 希望報名課程 (A＋B合報有優惠)
*
G4 - G6 ｜A. 國小作業輔導班 (5:30-6:30pm)
G4 - G6｜B. 國小英文閱讀寫成班 (6:30-7:30pm)
G7 - G8 ｜A. 國中作業輔導班 (5:30-7:00pm)
G7 - G8 ｜B. 國中Social Study班 (7:00-8:00pm)
Required
Parent's e-mail address 家長信箱
*
Your answer
Parent's phone number 家長手機
*
Your answer
Parents Line ID 家長 Line 帳號
Your answer
Home address 家裡地址
Your answer
How did you find PANO Junior? 如何知道我們？
Your answer
Note 備註
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Pano Education.
Report Abuse
Forms
