Summer 2009
Enrollment Form
2/F, #51 Yi Chuan Street, Sai Kung, N.T.
TEL: 2791 4838 / 9100 4131
Email: jumpstart@netvigator.com
Website: www.jumpstartmlc.com
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Summer 2009
Enrollment Form |
2/F, #51 Yi Chuan Street, Sai Kung, N.T. TEL: 2791 4838 / 9100 4131 Email: jumpstart@netvigator.com Website: www.jumpstartmlc.com |
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Parent’s Name家長: (First名) (Last姓) |
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Address地址:
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Tel: |
Mobile: |
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Email: |
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Child’s Name學生: (First名) (Last姓) |
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Date of Birth出生日期: (DD) (MM) (YY) |
Male男 / Female女 |
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School Attended就讀學校:
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Grade年級: |
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Course Title課程 |
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Day (s) (please circle) |
Mon Tue Wed Thu Fri Sat |
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Dates 上課日期 (please indicate specific dates if you are taking the full course) 若無法全程參與請寫出可出席日期 |
July: 七月份: |
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August: 八月份: |
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Cost費用 |
HK $150 X ______ lessons = HK$ ___________________ |
I have read the terms and conditions of Jumpstart Mandarin Learning Centre and am willing to accept them.
Signature of Parent: ___________________________________________
Date: ___________________________
Please make cheques payable to “THE WORD SHOP”
Please send your completed enrollment form and payment to:
Jumpstart
2/F, #51 Yi Chun Street,
Sai Kung, N.T.