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Parent's Full Name *
Address *
Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry
Mobile *
Email *

Child's Full Name *
Child's Chinese Name (in Chinese character where applicable)
Gender *
FemaleMale
Child's Date of Birth (dd/mm/yyyy) *
Day School
Has your Child learnt Mandarin before?
YesNo
If 'Yes', where and for how long?
Does your Child speak Mandarin at home?
YesNo
What is your Child's level of Mandarin? *
Please list any known allergies and medical conditions *
What TRIAL Class Session are you interested in? (Select Location) *
ONLINEBrunswickBoxhillCamberwellGlen WaverleyKensington
TRIAL Date
Time preferred *
Morning 9amMorning 11amAfternoon 2pmAfter School (for applicable schools)

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