Student Name *

First Name

Last Name

Birthday *

MM

DD

YYYY

Phone *

(###)

###

####

Where do you hear us?

FRIEND

WECHAT

GOOGLE

WEBSITE

OTHER

上課時間 Feb 8, 2020 *

A 11:00AM

B. 1:30PM

C.3:30PM

class fee $60

material fee $30

pot $20