Easy321 Online Student Registration Form             易學堂新生線上報名表
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Student's English Name 英文姓名  *
Please enter Full name as we will use it to create student homework account
中文姓名
(Chinese Name, if applicable)
Gender 性別 *
Required
Day School Grade  日校年級 (Sept, 2024) *
Day School Name 日校校名 (accept student with Gr. 2 and up) *
Home Address 住家地址 *
Language Spoken at Home 家庭使用語言 *
Required
Have your child learned Mandarin before?                       貴子女是否學過國語 / 普通話? *
Required
Name of Contact Person 聯絡人姓名 *
Contact Email 聯絡電郵 *
Contact Phone 聯絡電話 *
Name of Referrer 介紹人姓名
Referrer will receive $30 referral fee, if applicable
Class Selection (1st Choice) : 1.5 hrs. duration (Eastern Time Zone) *
Class Selection (2nd Choice):  1.5 hrs. duration (Eastern Time Zone)
Clear selection
Preferred Class Time for Future New Opening - Optional (可選擇多項)
Please let us know your availability for future new classes. 1.5 Hrs per class once a week. See School Calendar on Easy321 web main page for class dates and holidays. 每週每節課1.5 小時，請到易學堂網站首頁參考上課及放假日期
Note 備註  
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