海口嘉华联合英语学校在线报名系统


I hereby affirm that(报名条款)
I agree(我同意)




Last Name(名):
First Name(姓):
Middle name(中间名):
Preferred name(别名):
Address(联系地址):
E-mail Address(邮箱地址):
Date of birth(出生年月日)
e.g.:19830501(例如填写格式)
Your sex(性别):
  
Present City(现住城市):
Present Country(现住国家)
Emergency Contact(紧急联系方式)
Contact name(联系人):
Relation to you(与你关系):
Phone Number(电话号码):
What languages do you speak? Please indicate all languages you are able to speak including your native language.
(您会说哪种语言,请列举出您所能说的所有语言)
Education(教育程度) : Middle school(初中)  Secondary college(中专)
High school(高中)  college(大学) 
Do you want accommodation
(你是否想住宿):
YES(需要)  NO(不需要) 
Do you want airport pick up
(你是否需要接送飞机):
YES(需要)  NO(不需要) 

Do you have a medical condition
that we should be aware of
(你是否要关注医疗条件):

YES(是)   NO(不)  
If Yes,please specify
(如果是,请写出您要关注的医疗条件)
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