Chinese Pathway Registration Form (2022-23)

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Location: Ohlone Elementary School (950 Amarillo Ave, Palo Alto, CA 94303)
Time: Saturday 2-3:50pm
Website: Chinesepathway.com

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. 2022) *

Other:

Your child is: *

A new student (please fill in all info)

An existing Chinese Pathway student (only need to fill in required info*)

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:

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: *

One School Year (2022/08/27 ~ 2023/05/20), 28 sessions

Fall or Spring Semester (2022/8/27~12/17 or 2023/1/14 ~ 5/20), 14 sessions

Class for your child: *

Level 1, Grade K-1 (true beginners in Reading & Writing)

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

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

Level 4, Grade 3-4 (previously level 3)

Level 5, Grade 4-6 (previously level 4)

Level 6, Grade 5+ (previously level 5)

Other:

If referred by an existing Chinese Pathway family, please list the student of the referring family (discount for both families):

Payment Information *

One-time Registration Fee: $50 (only for first-time enrollees)

One School Year : $1650 - early bird by (6/26) $1700 - regular

Fall or Spring Semester: $900 - early bird by (by 6/26, 12/18) $950 - regular

Discount 1 (Sibling): -$50

Discount 2 (Referral): -$50

Required

Calculate your total payment above: *

Payable to : Chinese Pathway, 147 Sunset Ave. Sunnyvale CA 94086 Zelle: 6503363277

Any other comments?

Signature: *

Submit

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