New Student Registration Form

This form is for enrolling a new student who has already paid tuition.

Student Name

First Name

Last Name

Email

Language Choice for Emails and Communications

English or Chinese

Chinese Only

English Only

Birth Date

MM

DD

YYYY

Mobile Phone

(###)

###

####

Emergency Phone

(###)

###

####

Home Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Any Injury?

Any Medical Condition？