ESL Registration
Application to join OCCEC's English as a Second Language Class for the 2019 Fall term.
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Email *
1. 聯絡資料 Contact Information
中文姓名 Chinese name
English FIRST Name *
English LAST Name *
手機 Cell Number *
地址 Mailing Address (Street, City, Zip) *
生日 Birthdate (for example, 12/31, month/day only, NO year) *
緊急聯絡人 Emergency Contact NAME *
緊急聯絡人手機 Emergency Contact PHONE *
住宅小區 Community
微信 WeChat ID
上學期ESL班級 Last OCCEC ESL Class taken *
這學期要求的班級 Requested Class for Fall '19 *
經歷 Exposure *
Required
後註 Final Notes
我們將於 8/29 或之前收取$50費用（其中$25 註冊費，$25教材費），付款請用現金或支票（支票支付請寫OCCEC，並在備註欄中註明“ESL19 FALL”）。

我們希望每位學生在 8/29，9:30am 來中福教會報到，以涵蓋上課規則，並簽署免責書。 謝謝。

如果不行，8/28 之前一定要到中福辦公室辦理（辦公室開放時間為週二至週五，上午10點至下午5點 )。

There is a $50 fee due on August 29th ($25 for registration, $25 for curriculum. Pay by cash or check (make check to OCCEC with "ESL19 FALL" in the memo).

Please come on August 29th at 9:30am for fees, rules, and also to sign a Waiver of Liability form.

If not, then the student must go to the office on or before 8/28 (Tuesday through Friday, 10am-5pm).
我確定我有讀以上的後註。I confirm that I have read and understood the Final Notes above. *
Required
8/29/2019, 9:30am，註冊。Registration on 8/29/2019, 9:30am. *
A copy of your responses will be emailed to the address you provided.
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