2020 Summer Camp Registration Form

Preschool At-home Learning

Live Zoom Mandarin Immersion, Phonics, Math, Yoga, and Music Classes
Student's Name *

First Name Last Name
Student's Birthday *

Month Day Year
Date
How did you hear about our class?
If referral, please provide name
Guardian' Name

First Name Last Name
Guardian's email *
Guardian's phone *

Area Code Phone Number
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
What's your goal for at-home learning?
Do you want to join our onsite childcare or waiting list?

Payment Methods

Debit or Credit Card

Please click one of the PayPal options to complete payment and submit the form.

Preschool At-home Learning