Greater Dayton Chinese School

Class Registration Form

Enter your information in the form below:

First Name Last Name Chinese Name(if applicable)

*Parent 1:

Parent 2: Class Enrichment Class

*Student 1:

Student 2:

Student 3:

*Home Address:

*Home Phone:

*Emergency Phone:

*Email:

*# of Students

(Total Tuition/Semester):

*TextBook Fee: ($10/set):

*Total Payment: $ (To be paid at registration desk on the first day of semester.)

Payment Method: