Chinese Cultural Exchange
Tel: 860-953-3322
info@MingsChina.com
Chinese Language Class Registration Form
For session beginning ____________________.
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PERSONAL INFORMATION |
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| Last Name: | First Name: | ||||
| Chinese Name: | DOB: | ||||
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ACADEMIC INFORMATION
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| Grade: | |||||
| Native Language: | Second Language: | ||||
| Mandarin Level: | |||||
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CONTACT INFORMATION
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| Father's Name: | |||||
| Mother's Name: | |||||
| Home Phone: | |||||
| Work Phone: | |||||
| Cell Phone: | |||||
| Email: | |||||
| Address: | |||||
| Emergency Contact: | |||||
| Emergency Phone: | |||||
| Please check your program: | |||||
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Program |
Day(s) |
Time |
Tuition |
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Beginning Chinese for Adults I |
Mon/Wed |
7:30-9:00 pm (3 hours/week) |
$480 |
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Beginning Chinese for Adults II |
Mon/Wed |
9:30-10:30 am (3 hours/week) |
$480 |
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Travel Chinese |
Tues/Thurs |
7:30-9:00 pm (3 hours/week) |
$480 |
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After School Chinese |
Tues/Thurs |
4:00-5:00 pm (2 hours/week) |
$320 |
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Parent and Child Chinese |
Tues/Thurs |
9:30-10:15am (1.5 hours/week) |
$240 |
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| Please make a selection. By select this you AGREE to our Terms & Conditions and Waiver Form. | |||||
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Please complete the registration form and mail to CCE with your tuition payment to:
Chinese Cultural Exchange,
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