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忠恕親子讀誦經典班 - 2021秋季班報名表
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* Indicates required question
Student Name / 學生姓名
*
Child's First and Last Name
Your answer
Student's Nickname / 學生中文名或小名
*
(ex: Nickname or Chinese Name)
Your answer
Student's Birthday / 學生生日
*
(For celebrating birthday together)
MM
/
DD
/
YYYY
Address (For sending book and materials)
*
地址 (課本和其他教材會寄到家裡)
Your answer
Mother / Primary Guardian Name
*
媽媽或監護人1姓名
Your answer
Mother / Primary Guardian Phone #
*
媽媽或監護人1連絡電話
Your answer
Mother / Primary Guardian Contact Email
*
媽媽或監護人電子郵件
Your answer
Father / 2nd Guardian Name
爸爸或監護人2姓名
Your answer
Father / 2nd Guardian Phone #
爸爸或監護人2連絡電話
Your answer
Father / 2nd Guardian Contact Email
爸爸或監護人2電子郵件
Your answer
Parents Guide
*
是的， 讀誦經典班上課時我會陪伴在孩子身邊
Any other information that you think we should know about the child. / 其他
Add anything you would like the teacher to know in advance.
Your answer
請寫下是哪位好友介紹忠恕親子班給你? Please list out who introduces Zhong Shu Family Group to you?
*
Your answer
Media Release Form
*
Yes. I hereby grant and authorize the Zhong Shu USA, Family Group, to make use of photos involving my child. 立書人謹代表子/女，同意，於忠恕親子班學習時間，參與課程學習及活動過程之照片、影音紀錄內容，授權予忠恕親子班做為教育推廣使用。
No. I do not allow the use of the photos taken involving my child. 立書人謹代表子/女，不同意，於忠恕親子班學習時間，參與課程學習及活動過程之照片、影音紀錄內容，授權予忠恕親子班做為教育推廣使用。
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