Chinese Pathway Registration Form (2019-20)

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Location: Ohlone Elementary School (950 Amarillo Ave, Palo Alto, CA 94303)
Time: Saturday 2-3:55pm

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.

Email *

Student Name *

Date of Birth *

School *

Grade (as of Sept. 2019) *

Other:

Your child is: *

A new student

An existing student currently enrolled in Chinese Pathway

Home Address

City and Zip Code

Mandarin Language Learning History:

Additional Information (e.g. allergies, special requests, notes)

Parent/Guardian's (1) Name

Parent/Guardian's (1) Relationship to Child

Mother

Father

Other:

Clear selection

Parent/Guardian's (1) Phone Number

Parent/Guardian's (1) Email

Parent/Guardian (2) Name

Parent/Guardian's (2) Relationship to Child

Mother

Father

Other:

Clear selection

Parent/Guardian's (2) Phone Number

Parent/Guardian's (2) Email

Session Participation (choose both if two sessions): *

Session I (2019/08/24 ~ 2019/12/14), 14 sessions + extracurricular activities (~31 instructional hrs)

Session II (2020/01/11 ~ 2020/05/16), 15 sessions + extracurricular activities (~33 instructional hrs)

Session I and Session II

Class for your child *

Level 1, Grade K-1 (true beginner)

Level 2, Grade 1-2 (previously level 1, K-1)

Level 3, Grade 2-3 (previously level 2, 1-2)

Level 4 - new higher level this year, Grade 4-6 (previously level 3, 3-5)

Payment Information: *

One-time Registration Fee: $30 (only for first-time enrollees)

Two Sessions: $1590 - early bird (by 5/31); $1650 - regular (tuition + material)

Session I: $890 - early bird (by 5/31) ; $950 - regular (tuition + material)

Session II: $900 - early bird (by 11/30); $960 - regular (tuition + material)

Required

Any other comments?

Signature: *

Submit

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