Application Form

You are highly recommanded to check out tuition, class schedule, student rule and parent notes before you register a program. Click here!

Student Information

Chinese Name English Name
Date of Birth Home Phone
address Gender
  Grade(English)
Mother's Name Father's Name
Work Phone Work Phone
E-mail E-mail

After School Program:Grade

Summer Program: SessionI SessionII Session III SessionIV

Weekend Program:

Art SAT Dance

Chinese Keyboard Math

Wu Su Tai Ji Ballroom Dance(Adult)

Please print this form out and send it to our following address with your check and your Emergency Consent form.

Cambridge Center for Chinese Culture , 411 Waverley Oaks Road, Building 2, Suite 214, Waltham, MA 02452

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Copyright @1999 Cambridge Center for Chinese Culture. All right reserved.
Last revised: September 15, 1999