Alenedutainment Registration Form

AlenEdutainment 学生注册表格

Registration Form

请填写以下信息以完成注册过程。请确保信息的准确性以便我们提供最佳的教育体验。

Please complete the following information to finalize the registration process. Ensure the accuracy of the information for the best educational experience.

学生英文名字 (Full Name) *

学生手机号码 (Phone Number) *

学生邮件 (Email) *

生日日期 (Date of Birth) *

性别 (Gender) 请选择一项 *

男 (Male)

女 (Female)

学校名字 (Name of School) *

就读年纪 (Education Level)

学生住家地址 (Address) (送礼） *

学生住家城市 (City) *

学生住家州属 (State) *

学生住家邮政编码 (Postal code) *

请问您是如何知道Alen老师 (How did you hear about Teacher Alen?) *

社交媒体 (Social Media)

朋友/家人推荐 (Friends/Family Recommendation)

网络搜索 (Online Search)

其它 (Other)

紧急联系

Emergency Contact

家长电话号码 (Parent's Phone Number) *

我确认以上提供的个人信息是正确的。通过提供我的手机号码，我同意接收来自该企业的短信。

I confirm that the above personal information is accurate. By providing my phone number, I agree to receive text messages from the business.