Student Registration Form

Student Registration Form

学生注册表
👤 Student Information

学生信息
Full Name / 全名

First NameLast Name
Date of Birth / 出生日期

MonthDayYear
Date
Grade Level (Current or Upcoming) / 年级（当前或即将就读）
School Name / 学校名称
👨‍👩‍👧 Parent/Guardian Information

家长/监护人信息
Full Name / 全名

First NameLast Name
Relationship to Student / 与学生关系
Email Address/ 邮箱
example@example.com
Phone Number / 电话号码 (with country code 含国家代码)
Please enter a valid phone number.Format: (000) 000-0000.
Preferred Contact Method / 首选联系方式
WeChat ID (optional) / 微信号
🌍 Location & Class Preference

地区与上课偏好
Your Location (Country, city) / 您的位置（国家，城市）
Class Format Preference / 上课形式偏好
📚 Program Interest

项目兴趣
Which program(s) are you interested in? (Check all that apply) / 感兴趣的课程项目（可多选）
Student’s Experience Level / 学生经验水平
How did you hear about us? / 您是如何了解到我们的？
💬 Additional Notes or Questions / 其他备注或问题
Book a Trial Debate Class with Coach Ivan (Free of charge) / 预约与Ivan教练的试讲辩论课（免费）
Book a Trial Public Speaking Class with Coach Reese / 预约与Reese教练的试讲演讲课
Should be Empty:

👤 Student Information