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Children's Chinese Singing Class Registration

Spring 2026 Semester (7 March 26 - 23 May 26)

Student Details

Full English Name*

Chinese name 中文名*

Single choice*

Boy

Girl

Date of Birth*

Month

Day

Year

Current School Name (2026-27)*

Grade in Sept 2026:*

Languages spoken at home*

Parent/Guardian Information

Primary Contact: Name*

Relationship*

Email*

Phone*

I am a returning student.

Program Selection:

Little Sparrows (Ages 3-7) Saturday 10:15-11:15 AM Focus: Basic Chinese through songs & play

Health & Safety

Any Allergies/Medical Conditions?

If Yes, tell details

Special Needs/Accessibility Requirements

If Yes, tell details

Emergency Contact

Payment Information

$120 (Early Bird by Feb 25) || $150 (Regular) || $15 For Trial Class*

CA$

We will be giving away a free T-Shirt. Please select your size. (For new student only)

Choice to Pay*

You may e-transfer to burnabybaptistchurch@gmail.com

Cheque (Payable to "Burnaby WH Baptist Church")

Pay Cash on first Classes (Only for our returning students)

Upload yr Receipt

How did you hear us?

Permissions

I grant permission for my child to participate in all activities

Photo/Video Release (for church materials)

Emergency Medical Authorization

Permission to contact via email/text

Parent/Guardian Signature

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burnabybaptistchurch@gmail.com

4304 Parker St. Burnaby, Canada BC V5C 3C5

Tel: 236-966-0022

Burnaby Willingdon Heights Baptist Church, Burnaby

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