Kids form

USER DATA

*Username: (Enter your Email for your User account) *Password: (8 to 20 character, it must contain at least one uppercase character, one lowercase character and one number) *Confirm your password:

STUDENT INFORMATION

*Name: *Last Name: *Date of Birth:
*Gender: Male Female

ADDRESS

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If you live in Mexico, please visit our website https://www.wenchengclc.com/ and in Country select Mexico and register again.
*Country: Choose an option USA Other Country

*Country: State: Choose an option Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

BACKGROUND INFORMATION

*Have you studied Chinese?: NO YES For how long?: Choose an option Less than 50 hours 50 to 100 hours 100 to 200 hoors more than 200 hours

ACADEMIC DATA

*Education Level: Choose an option Kindergarten 1st grade 2nd grade 3rd grade 4th grade 5th grade 6th grade 7th grade 8th grade Freshman 10th grade Junior Senior

FATHER´S DATA

Father's Name: Father's WhatsApp Number: Father's Email Address:

MATHER'S DATA

Mather's Name: Mother's WhatsApp Number: Mother's Email Address:

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