2017 Fall Returning Adult Student Registration Form
Is your child registered this quarter?
, write your name and your child's name ONLY
, fill the following form
Date of Birth:
Home Phone #:
Cell Phone #:
*In order for the school to keep you informed, please provide the e-mail address that you check the most.All your personal information is only for the use of school records.
Select classes and Review the Registration Summary
Adult Dance(9:30 - 11:00)
Chinese Painting(11:30 - 12:25)
Adult Chinese(11:30 - 12:25)
Adult Dance(11:00 - 12:25)
Please print this form and submit it along with your payment at school or mail it to:
4010 NW Kaiser Rd, Portland, OR 97229