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2024 Summer Camp 夏令營
WALNUT CHINESE LANGUAGE CENTER
20850 CARREY RD. WALNUT, CA 91789
909-706-0867 909-594-8880
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* Indicates required question
Email
*
Your email
Enrollment Type
*
Entire Day 全天
Morning Chinese Class Only 上午中文班
Afternoon Classes Only 下午課程
Number of Weeks 參加週數
*
Choose
1
2
3
4
5
6
7
8
Select the the weeks to attend 請在參加的週數打勾
*
1st week
2nd week
3rd week
4th week
5th week
6th week
7th week
8th week
Required
Field Trips
*
Will join 有意願參加
Won't join 沒有意願參加
Student Name 姓名 (Chinese and English )
*
Your answer
DOB 生日
*
Your answer
Gender 性別
*
Male 男
Female 女
School 目前就讀學校
*
Your answer
Grade 年級 starting August 2024
*
Choose
Kindergarten
1
2
3
4
5
6
7
8
Chinese Proficiency
中文聽、說能力
*
None 未讀過
Minimal 有限
Proficient 流利
Has the student learned pinyin before?
學過拼音嗎?
*
Yes 有
No 沒有
Last completed Chinese textbook level
已讀完拼音 pinyin, 或其他中文課本_______第____册
*
Your answer
Choice of Chinese written form
選擇書寫字體
*
Traditional 繁體
Simplified 简体
Native Language 母語
*
Mandarin 國語
Cantonese 粵語
English 英語
Other 其他
Required
Address 住址
*
Your answer
Parent/Guardian Name 父母 / 監護人名字
*
Your answer
Parent/Guardian's Relationship to Student 關係
*
Mother 母親
Father 父親
Other 其他
Parent/Guardian's Phone Number (Home)
*
Your answer
Parent/Guardian's Phone Number (Cell)
*
Your answer
Parent/Guardian's Email
*
Your answer
Family Doctor's Name and Telephone
*
Your answer
Make Payment
*
by Check 以支票支付
by Zelle (
wclc20850@gmail.com
)
Other 其他
Required
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