Registration Form

Child's Name (English)

Child's Name (Chinese)

Child's Age

Name of Child's Mother

Name of Child's Father

Home Address

Phone Number

Emergency Contact

Has your child been exposed to Mandarin before?

Yes
No

If Yes, when and how?

How do you describe your child's Mandarin ability, in terms of understanding, speaking, reading and writing?

Is your child allergic to any food or other substances in the environment?

Which class do you want your child to attend? (Tuesday classes)

Priority 1

Priority 1 :: Tuesday classes

Priority 2

Priority 2 :: Tuesday classes

Priority 3

Priority 3 :: Tuesday classes

If you preffer a printed form please CLICK HERE. Fill it up and send to us at:

CSFLS

37 Elizabeth st. suite # 1

Ossining, NY, 10562