Student Registration Form
学生注册表
👤 Student Information
学生信息
Full Name / 全名
*
First Name
Last Name
Date of Birth / 出生日期
*
-
Month
-
Day
Year
Date
Grade Level (Current or Upcoming) / 年级(当前或即将就读)
*
Please Select
Grade 4 / 四年级
Grade 5 / 五年级
Grade 6 / 六年级
Grade 7 / 七年级
Grade 8 / 八年级
Grade 9 / 九年级
Grade 10 / 十年级
Grade 11 / 十一年级
Grade 12 / 十二年级
School Name / 学校名称
*
👨👩👧 Parent/Guardian Information
家长/监护人信息
Full Name / 全名
*
First Name
Last 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.
Preferred Contact Method / 首选联系方式
*
Please Select
Email / 电邮
WeChat / 微信
WhatsApp / 即时通讯应用
Phone Call / 电话
Other / 其他
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
*
Please Select
In-Person (Vancouver, Canada) / 面授 (加拿大温哥华)
Online / 线上
Either / 皆可
📚 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)
*
Please Select
Public Speaking 演讲课 (Coach Reese)
Debate 辩论课 (Coach Ivan)
Private Coaching (Public Speaking) / 私人辅导
Private Coaching (Debate) / 私人辅导
Interested in both (Public Speaking & Debate) / 对演讲和辩论都感兴趣
Student’s Experience Level / 学生经验水平
*
Please Select
Beginner / 初学者
Some Experience / 有一定经验
Advanced / 高级水平
How did you hear about us? / 您是如何了解到我们的?
*
Please Select
Friend / 朋友
Social Media / 社交媒体
School / 学校
Other / 其他
💬 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
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