Children Course Registration Form

Student Registration Form

Fill out the form carefully for registration. After sending the form, we will contact you to confirm registration and arrange payments.
Student Name*

First NameLast NameChinese Name 中文名
Birth Date*

MonthDayYear
Gender*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent Name*
Parent E-mail*
example@example.com
Mobile Number*
Select the group you would like to sign up for*
What is your child's level in listening comprehension and speaking in Cantonese? (For new students)*
Where did you learn about our classes from?*
Should be Empty:

Student Registration Form