SACCI Student Registration

Use this form to enroll your students for SACCI 2026 Fall Semester. For TCML re-enrollment, please visit https://form.jotform.com/260015746423148
Primary Parent/Guardian Information
English Name

First NameLast Name
Chinese Name (if any)
Occupation
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Secondary Parent/Guardian Information
English Name

First NameLast Name
Chinese Name (if any)
Occupation
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Number of Student(s)

Student Information
English Name #6

First NameLast Name
Chinese Name #6, if any
Gender #6
Age #6
Date of Birth #6

MonthDayYear
Date
English Grade Level #6
Chinese/Mandarin Level #6
Chinese Level Description #6

Student Information
English Name #5

First NameLast Name
Chinese Name #5, if any
Gender #5
Age #5
Date of Birth #5

MonthDayYear
Date
English Grade Level #5
Chinese/Mandarin Level #5
Chinese Level Description #5

Student Information
English Name #4

First NameLast Name
Chinese Name #4, if any
Gender #4
Age #4
Date of Birth #4

MonthDayYear
Date
English Grade Level #4
Chinese/Mandarin Level #4
Chinese Level Description #4

Student Information
English Name #3

First NameLast Name
Chinese Name #3, if any
Gender #3
Age #3
Date of Birth #3

MonthDayYear
Date
English Grade Level #3
Chinese/Mandarin Level #3
Chinese Level Description #3

Student Information
English Name #2

First NameLast Name
Chinese Name #2, if any
Gender #2
Age #2
Date of Birth #2

MonthDayYear
Date
English Grade Level #2
Chinese/Mandarin Level #2
Chinese Level Description #2

Student Information
English Name #1

First NameLast Name
Chinese Name #1, if any
Gender #1
Age #1
Date of Birth #1

MonthDayYear
Date
English Grade Level #1
Chinese/Mandarin Level #1
Chinese Level Description #1

Medical Authorization and Disclaimer
Subtotal
$340 first student only, $300 each student after, $20 registration fee
Payment
Subtotal (New Student)
$340 first student only, $300 each student after, $20 registration fee
Payment Method
Paying by Zelle:

Please send payment to: Shu-Chiang Lin / 210-867-3588.

When submitting payment, please include the student's name and submission ID (provided in your confirmation email) in the comments section.
Paying by Check:
1. Please make the check payable to SACCI
2. Mail the check to: Dr. John Lin, 20435 Cliff Park, San Antonio, TX 78258
When submitting payment, please include the student's name and submission ID (provided in your confirmation email) in the comments section.
Should be Empty: