September 7th - December 14th, 2024
Please fill all the required fields and we will send you a registration form required by the state to be filled for each child.
Date & Time:
Saturdays, 10:00 am - 12:00 pm
Registering for:
*
Mandarin Classes
1 - Student's Full Name
*
First Name
Last Name
2 - Student's Date of Birth
*
-
Month
-
Day
Year
Date of Birth
3 - Current Grade Level
*
Please Select
Pre K
k
1
2
3
4
5
6
7
8
4 - Start Date
*
-
Month
-
Day
Year
NOTE: Your start day will be moved to the following week if the registration is received after 12:00 PM.
PARENT INFORMATION
Mother Full Name
*
First Name
Last Name
Mother Email
*
example@example.com
Mother Phone Number
*
Please enter a valid phone number.
Father Full Name
*
First Name
Last Name
Father Email
*
example@example.com
Father Phone Number
*
Please enter a valid phone number.
Home Address
*
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
PAYMENT
Carefully select your option
IMPORTANT INFORMATION
Payment Frequency:
Monthly
The payments are calculated based on a weekly fee x 13 weeks divided by 4 months
*
prev
next
( X )
Mandarin
Saturdays
$
162.50
for each
month
Email
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Enrollment Agreement
Please review and sign
Signature
*
Date of Consent
*
/
Month
/
Day
Year
Date
How did you hear about us
*
Facebook
Email
Whatsapp
Instagram
Friend
Back to School Fair
Representative called
Received postcard
GEM Newsletter
Other
Submit
Should be Empty: