Walson Chinese School
Fayetteville, Arkansas

CLASS REGISTRATION FORM

Class: *
Parent/Guardian First Name: *
Parent/Guardian Last Name: *
Student First Name: *
Student Middle Initial:
Student Last Name: *
Student Gender: MaleFemale
City: *
State: *
Zip: *
Date of Birth:
*
Phone Number: (xxx) xxx-xxxx *

E-mail Address:
This is mainly used for school announcements.

*

Re-enter E-mail Address:
Re-enter your email address here to verify.

*
What is your relationship to the student(s)?
(30 characters max)
*
 
Please verify the following information and, if you agree, check the box and hit Submit Course Registration to continue.
I understand and agree with above statements.
Note: you will not be able to register online if you do not approve above statements. Please contact the school principal for your concerns or questions.



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