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Wellesley Chinese Language School
Registration Form - Parent
Create A New User Account
Email address*
This User Email Already Exists
Password*
User Information
First Name
*
Last Name
*
Gender*
Male
Female
Relation to Student
*
Mother
Father
Guardian
Address Information
Address Line 1
*
Address Line 2
Town/City
*
State
*
Zip Code
*
Contact Information
Phone No
Mobile No
At least one number is required
Parent/Guardian #2 Information
First Name
*
Last Name
*
Relation to Student
*
Mother
Father
Guardian
Email
*
Mobile Phone
*
Home Phone
*
Work Phone
*
At least one number is required
Terms and Conditions
I agree to terms and conditions
*
(
Parent Agreement
)
Register a new membership
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