Registration Application

Share a little about your learner and preferred class times. We will review your application and follow up by email.

Fields marked with an asterisk (*) are required.

Students

Add each child who will attend. You may add multiple siblings.

First name *

Last name *

Chinese name *No Chinese Name / 无中文姓名

Gender *

MaleFemale

Date of birth *

Year

Month

Day

Is beginner? *

First name *

Last name *

Chinese name *No Chinese Name / 无中文姓名

Cell phone (xxx-xxx-xxxx) *

Email *

Choose a weekday with start and end times. Use “Add Another Slot” for multiple preferences.

Day

Start

End

Note

0 / 300 characters

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