2014 Experiences Order Form
Submit the form below to place your order and pay via PayPal.
Student Name (oldest)
*
First Name
Last Name
Grade Level (oldest)
*
K
1
2
3
4
5
6
Please select the grade level of the oldest child attending XinXing Academy
Parent Name
*
First Name
Last Name
E-mail
*
Select quantity below and click on "Submit Form"
You will be redirected to PayPal to complete your payment. You will receive an email confirmation upon payment.
Check the box and Select Quantity
Golden Valley Progressive Dinner
$
75.00
Quantity
1
2
3
4
5
6
7
8
9
10
Summer Solstice Games
$
40.00
Quantity
1
2
3
4
5
6
7
8
9
10
Cave Vin
$
75.00
Quantity
1
2
3
4
5
6
7
8
9
10
Fried Rice Class
$
15.00
Quantity
1
2
3
4
5
6
7
8
9
10
Total
$
0.00
Submit Form
Should be Empty: