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Name *

First Name

Last Name

Phone *

(###)

###

####

Your Child's Name 1 (If you are signing up for your child)

First Name

Last Name

Your Child's Name 2 (If Applicable)

First Name

Last Name

Are you or your child taking a Chinese class now? or Have you or your child taken a Chinese Class before? *

Yes

No

Please choose your Preferred Class Location:

Note: Locations more than 30 minutes away from Carmel will include a transportation fee.

Your/Student's House

Online (Skype / FaceTime)

Other

Desired Start Date *

Note: Please book your after school programs at least 3 weeks ahead.

MM

DD

YYYY