Registration Parent/Guardian Information * First Name Last Name Parent/Guardian Email * Parent/Guardian Phone * (###) ### #### Student Information * Provide first name, last name, date of birth, and current grade (U.S.) of each child on a separate line Contact Email and Phone Number If email and phone number contact is different than parent/guardian information. What classes and activities are you registering for? * Việtnamese Language Class 10:30am-12:30pm Math Class 9:20am-10:20am Hip-Hop + Traditional Dancing 12:30pm-1:30pm Dragon Dance 12:30pm-1:30pm Quán Cafe Volunteer (adults only) 10:30am-12:30pm Teacher (adults only) Teaching Assistant (math or Vietnamese language) Message for School Please provide any additional information that might be helpful to know about you, your student(s), or questions you may have for us. Thank you!