PARENT INFORMATION

Name

First Name

Last Name

Phone

Country

(###)

###

####

At-Home or Other Class Location

Host Classes at home

Outside Location

Comments / Questions

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

STUDENT INFORMATION (1)

(Child 1) Name

First Name

Last Name

(Child 1) Gender

(Child 1) Date of Birth

YYYY

(Child 1) School

(Child 1) Grade

Entering Grade in Fall 2023

(Child 1) Mandarin Level

Classification based on current grade: (Beginner) Basic pronunciation and tone recognition; (Intermediate) Intermediate pronunciation, character recognition and writing ability; (Advanced) Advanced level of speaking, reading, and writing skills

(Child 1) Mandarin Background

(Child 1) Weekly available day(s) / time(s)

STUDENTS INFORMATION (2)

(Child 2) Name

First Name

Last Name

(Child 2) Gender

(Child 2) Date of Birth

YYYY

(Child 2) School

(Child 2) Grade

Entering Grade in Fall 2023

(Child 2) Mandarin Level

(Beginner) Basic pronunciation and tone recognition; (Intermediate) Intermediate pronunciation, character recognition and writing ability; (Advanced) Advanced level of speaking, reading, and writing skills

(Child 2) Mandarin Background

(Child 2) Weekly available day(s) / time(s)

Mandarin After-School Sign-Up Form