form

Six Skills Chinese School

Registration

Student Part

First Name:	Last Name:
Address:
City:	State: Zip:Telephone:
Date of Birth:	Age:
Language spoken at home:	Cantonese Mandarin English Others spacify:
Written Chinese:	Traditional Simplified
School's Name in Bay Area:

Parents Part

Mother's Name: Last Name:

Father's Name: Last Name:

Country of Parents:
Emergecy Contact Person: Telephone:

Address of the Contact Person:

Suggestions or Comments:

You can send your registration form and check to P.O. Box. 1226 Millbrae CA94030.

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Mother's Name:	Last Name:
Father's Name:	Last Name:
Country of Parents:
Emergecy Contact Person:	Telephone:
Address of the Contact Person:
Suggestions or Comments:

You can send your registration form and check to P.O. Box. 1226 Millbrae CA94030.