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1、Pre-Registration Form 报名表Please fill out one from for each child 请为每位幼儿填写一份Child Information 幼儿信息English Name_ Family name_中文姓名_ 姓名拼音_Birth Date 生日：Year年_ Month 月_Day日_ Birthplace 出生地_Nationality 国籍_Gender性别_Student First Language 母语_ Second Language 第二语言_Has your child attended any additional schoo
2、l programs (i.e. gifted and talented or emotional/behavioral disorder, learning difficulty, speech or language therapy, etc/) 您的孩子有没有接受特殊教育？（如超智力训练，情感行为自控能力，学习困难，语言障碍方面的治疗等）？Yes 是No 否If yes, please provide details: _Age Level Requested 申请年龄班Please choose the level your child will attend according to
3、 age请为您的孩子选择在以下年龄段，并划圈Toddlers 托班（2-3 years old) K1 中班（4-5 years old）Pre K 小班（3-4 years old）K2 大班（5-6 years old）Planned starting date 预计入学日：Day 日_Month 月_Year 年_Parent Information家长信息Mothers Name 母亲姓名_Fathers Name父亲姓名_Home Address家庭地址_Contact Number联系电话home 家庭_Mobile 手机_Fax _E-mail address电子邮件_Gener
4、al InformationWhere did you hear about our school? (Please circle and provide details) 您是通过什么知道海富幼儿园的？From a friend 朋友推荐Relocation Agency 中介_ Newspaper/Magazine 杂志 _Internet search 网站_ Others 其他 _Thank you for your interest in Fortune Kindergarten Please fill in the form and send it to the Principal
5、s Office personally, by e-mail or by fax. Also, please ensure that you send this form to the correct campus. 欢迎垂询海富幼儿园，请填写此表格后传真、电邮或提交到园长办公室。Note: Indicate in the subject of your email the name of your child and the age-level you are applying for!e.g.: Pre-registration form Robert Adams_Toddler2014. 注意：邮件主题填写幼儿姓名和申请年龄。如：*报名表_2014托班For Office Use Only园方记录Date Received 收件日期_ Planned Starting Date 预计入学日_Waiting List No 等候号_ Class Assigned 入学班级_Remarks 备注_Signature 签名 Date 日期
