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南康州中文學校2020秋季班註册單 CLSFC 2020 Summer Registration Form
School Location: Rippowam Middle School, 381 High Ridge Road, Stamford, CT 06905
Website:
https://chineseschoolct.org/
Email:
registration@chineseschoolct.org
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* Indicates required question
Email
*
Your email
Second Email Address (optional)
Your answer
Father's English Name
*
Your answer
Father's Chinese Name (Optional)
Your answer
Father's Occupation (optional)
Your answer
Mother's English Name
*
Your answer
Mother's Chinese Name (optional)
Your answer
Mother's Occupation (optional)
Your answer
Street Address
*
Your answer
Apt or Suite #
Your answer
City
*
Your answer
State
*
Your answer
Zip Code
*
Your answer
Home Phone
Your answer
Mobile Phone or Main Contact Number
*
Your answer
Second Mobile Number (optional)
Your answer
Emergency Contact 緊急聯絡人(To be contacted if parents are not reachable)
*
Your answer
Emergency Contact's Phone Number 緊急聯絡人電话
*
Your answer
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