JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
West Valley Chinese Academy Enrollment Form 2023-2024
Please start by registering any returning students first.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
WVCA kindly requests that all families participate in volunteer work, in the classrooms, fundraising, during special events, or Chinese New Year. This encourages family and student bonding within our Chinese community.
Student: First Name (English)
*
Your answer
Student: Last Name (English)
*
Your answer
Student: Chinese Name
Your answer
Student: Date of Birth
*
MM
/
DD
/
YYYY
Student: Gender
Female
Male
Other or Decline to State
Clear selection
Student: Ethnicity of Hispanic and Latino origin or descent?
Yes
No
Clear selection
Student: Please check one or more of the following groups in which the student considers themselves to be a member of.
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
Other:
Student: Returning or New to WVCA
*
New Student
Returning Student
Student: Regular School Grade Level for 2023-2024
Choose
Preschool
Pre-K
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
N/A
Student: WVCA Class Assignment for the 2023-2024 School Year
*
Parent and Me
Book K
Book 1
Book 2
Book 3
Book 4
Book 5
Book 6
Book 8
Book 9/10 & AP Preparation
Adult Beginner Chinese Class
Would you like to enroll an additional student?
*
Yes
No
Next
Page 1 of 6
Clear form
Never submit passwords through Google Forms.
This form was created inside of West Valley Chinese Academy.
Report Abuse
Forms
