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Student Form

Student's Full Name

Date of Birth

Current Grade

Current School

CAM site

CAM site

A

Millbrae

B

San Mateo

C

South San Francisco

Child’s Start Date in the Program

Please provide us with the specific days your child will be attending the program

Please let us know if your child needs a Mandarin lesson.

Allergy & Medical History

Parent's Full Name

Address

Email

Enter the email you used to make the purchase

Phone Number

Emergency Contact Info

Phone Number

Email

How did you hear about us?

I, Parent/Guardian of the applicant, have read and fully understood the Enrollment Policy & Liability Waivers. By checking this box, I confirm that I will abide by all the terms

I, Parent/Guardian of the applicant, have read and fully understood the Enrollment Policy & Liability Waivers. By checking this box, I confirm that I will abide by all the terms

I accept