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Life Chinese Registration Form
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* Indicates required question
Student Name
*
Your answer
中文名字
If the student has a Chinese name.
Your answer
Birthday
*
MM
/
DD
/
YYYY
Grade (Fall 2020)
*
if applicable
Choose
Kindergarten
1th grade
2th grade
3th grade
4th grade
5th grade
6th grade
7th grade
8th grade
9th grade
10th grade
11th grade
12th grade
Adult
School
If applicable
Your answer
Parent Name
If the student is a minor.
Your answer
Primary Email
*
If the student is a minor, please put the parent's email.
Your answer
Student Email
If not same as the primary email
Your answer
Program of your choice
Local Classroom (Cupertino, CA)
Equalearning Self-Paced Program
AP Chinese Prep (Virtual Live Classroom)
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