Professional Documents
Culture Documents
2023 Registration Form
2023 Registration Form
Student
Name:________________________________________DOB____________
M__ F __
Parent/Guardian:
Name:_________________________________________________________
School: _______________________________________release time_______
Grade: ________
My student’s main language is: _____________________
Mailing Address:
___________________________________________________
Parent phone number and email address:
_____________________________________________________________
Student phone number and email address:
______________________________________________________________
Name____________________________________
Phone____________
Name____________________________________
Phone________________
Focused Subject
____________________
____________________
____________________
____________________
________________________________________________________________
I understand that I will be part of the goal setting process for my student, and I
agree to release the student’s relevant educational information to the
appropriate parties for educational research. Including the student’s report card. I
have read and understand the Company Code of Conduct and will guided by its
parameters.
I have read and understand the Fee Structure, and the need for timely payments.
Date:_____________________