Chinese Culture and Language Summer Camp

Chinese Language and Culture Summer Camp

June 13 - August 12 (PreK-G6)
**Select Sessions to Enroll（9:00am - 5:30pm)
Number of Weeks Selected
Additional Options
Student Name

First NameLast Name
Student Grade
Student Gender
Birth Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearmm-dd-yyyy
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent Name

First NameLast Name
Parent Email
Parent Phone Number

Area CodePhone Number
Has your child taken previous Chinese Lessons?
Does your child come from a Chinese Speaking Background?
Please select your child's Mandarin Proficiency level:

Other
For payments:

Paypal: erseducationalgroup@gmail.com( please choose “family and friends “, or you will pay 3%service fee).

OR

Zelle: thedolphineducation@gmail.com

OR

Check made to Dolphin Education and Mail to 20432 Silverado Ave. 5A, Cupertino, CA 95014
Should be Empty: