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Huaxin Fall Registration (華星秋季招生表格)
Children Art and Performance Academy
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* Indicates required question
Student English Name/學生英文名字
*
Your answer
Chinese Name/學生中文名字
Your answer
Date of Birth/生日
*
MM
/
DD
/
YYYY
Age/年齡
*
Your answer
Sex/性別
*
Female/女生
Male/男生
Address/地址
*
Home Address; Apt#:
Your answer
City(城市)
*
Your answer
State(州)
*
Your answer
Zip Code
*
Your answer
Parent/Guardian's Name (家長姓名)
*
Your answer
WeChat ID
Your answer
Home Phone (家里電話)
*
Your answer
Cell/Work Phone (手機/工作電話)
Your answer
Email Address (短信地址)
*
Your answer
Emergency Contact (緊急通知)
*
Your answer
Contact Person's Phone (緊急通知電話)
*
Your answer
$20 Registration Fee(注冊費) (Check if all ready paid)
Yes
Later
Photo Release (照片允許)
http://www.huayin.org/PhotoRelease.php
*
Agreement that Photo Releases are granted to Huayin Performing Arts Group and its affiliates.
Yes
Required
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