PARENT INFORMATION

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First Name

Last Name

Phone

Country

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Comments / Questions

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

Current Grade

(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

Current Grade

(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)

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