小伊顿双语幼稚园

Little Eton Bilingual Kindergatren

 

入学申请表

Student Application Form

Child Information 幼儿资料

Child’s Name(English)                                     (Chinese)            

幼儿姓名         (First Name)           (Family Name)           中文名

 

Date of Birth         /           /          Gender       Place of Birth         

出生日期     YY       MM       DD       性别        出生地

 

Brith Certificate/passport No                               Nationality             

出生证/护照号码                                                 国籍

Health                      Allergies                                         

健康状况                      过敏记录

Class Applied for 全日制: (小小班23岁),(小班34岁),(中班K245岁),(大班K356

 

Home Address                                                                               

  家庭住址

 

Home Tel:                   Fax:                     School bus service  Yea   No

家庭住址                      传真                         是否需要校车服务        

 

How did you hear about Little Eton Kindergarten?  您从何处知道小伊顿幼稚园

Print media PR events Open house   Friends/relatives  Internet/Website Direct mail         Other          

 报刊杂志   推介会   开放日     朋友、亲戚介绍       网站     邮寄            其他          

 

 

Language   Information  语言资料

 

                       1st  Language              2nd  Language                 Other

              第一语言                        第二语言                         其他

Student(幼儿)                                                                                

Father(父亲)                                                                                  

Mother(母亲)                                                                                  

 

请将填写后报名表,贴上儿童近照,

小伊顿双语幼稚园

Little Eton Bilingual Kindergatren 

 

Parent/Guardian Data  家长/监护人资料 

 

Father’s Name(English)                                        (Chinese)                          

父亲姓名                                                    中文名

ID/Passport No.                                         Education level                          

身份证/护照号码                                             文化程度

Occupation                      Company/Name                                               

职业/职务                        工作单位

Office Address                                                                                   

单位地址

Tel                       Mobile                            E-mail                           

Mother’s Name(English)                                        (Chinese)                           

母亲姓名                                                    中文名

ID/Passport No.                                         Education level                          

身份证/护照号码                                             文化程度

Occupation                      Company/Name                                               

职业/职务                        工作单位

Office Address                                                                                  

单位地址

Tel                       Mobile                            E-mail                           

 

Name of persons authorized to pick up child(other than parents)

除父母外,其他接送幼儿的人员

Name                              Relationship with family                                     

姓名                               与幼儿家庭地关系

Name                              Relationship with family                                     

姓名                               与幼儿家庭地关系

 

 

                                                                                             

Parent’Signature 家长签名(In capitals)                       DATE  日期             

 

请将填写后地报名表。贴上儿童近照。寄至: