September 3, 2010

*Little Dreamers Playgroup *小小梦想家的开心乐园* Application Form* 报名表

 Little Dreamers Playgroup *小小梦想家的开心乐园* Application Form*报名表
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Contact Information/联系方式:

Parents’ Name/家长姓名:

 

  

Home Address/住址:

 

City/城市:

 

State/省份:

Zip/邮编:

 

Parents’ Place of Employment/家长工作单位:

 

Emergency Contact Name & Number/紧急联系方式:

Email/邮件地址:

 

Extra Notes/ 备注 

Information on Child(ren)/学生信息:

Last Name/姓

First Name/名

Date of Birth/出生日期
(mm/dd/yy)

Sex/性别
(M/F)

1.




2.





3.




Class Required/上课时间:

Select:

Gz Oerlikon    

May 2nd- July 25th 2013

(13 sessions)

 

English Playgroup/少儿英语课程 Thursdays 8:30-11:30 CHF 460
Chinese Playgroup/少儿中文课程 Thursdays 11:45-12:45 CHF 200
Both/两个都上 Thursdays 8:30-12:45 CHF 580

                                                                               

Select:

GZ Schindlergut

May 3rd-July 26th

(13 sessions)

Chinese Playgroup/少儿中文课程 Fridays 13:15-15:15  CHF 390
English Playgroup/少儿英语课程 Fridays 15:30-17:30  CHF 390
Both/两个都上 Fridays 13:15-17:30  CHF 720

Signature家长签名:

Parent’s Guardian’s Signature/家长签名:

Date/日期:

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