Enrollment Application 學生資料 Student Information名 (英文) First Name姓 (英文) Last Name出生年月日 Date of Birth性別 SexFM地址 AddressTown / CityState/ProvincePostcode / ZipCountry電話 TelephoneEmailSplitter家庭資料 Family InformationPrimary Parent/Guardian Name (En)*母親姓名 (中)Second Parent/Guardian Full Name (En)父親姓名 (中)Splitter緊急聯絡人 Emergency ContactName電話 TelephoneSplitterAcademics Information班級 Class班級 Class Lang.簡體 Simplified繁體 Traditional請協助選擇 Please help me choose教材費 textbooks注音 Zhuyin拼音 Pinyin廣東話 Cantonese課外活動 Extracurricular class目前就讀學校 Current school name下學年就讀年級 grade in next September中文語言水平評估 Chinese Language Skill Assessment有興趣學習 Interested in learning注音 Zhuyin拼音 Pinyin簡體 Simplified繁體 Traditional請協助選擇 Please help在家有否用中文 Use Chinese at home ?是 Yes否 No在家有否用中文 Use Chinese at home ?廣東話 Cantonese普通話 Mandarin其他方言 Others是否亦在學習中文 Already a Chinese Learner ?是 Yes否 No學習中文年數 Years of Chinese learning中文學校 / 私人家教老師名字 Chinese School’s or Tutor’s name最近就讀中文學校年級 /程度 Current grade / level of Chinese課本名稱 Which textbook is used ?Splitter健康狀況調查表 Health History Information您的孩子需要特殊照顧嗎 ? Does your child need special care ?是 Yes否 No您的貴子弟是否患有氣喘、癲癇、糖尿病、頭暈症、高血壓或心臟病 ? Does your child have ASTHMA, EPILEPSY, DIABETES, FAINTING SPELLS, HIGH BLOOD PRESSURE or HEART CONDITION ?是 Yes否 No若是，請列下If yes, please list其他 Other您的貴子弟是否對蜂螫、食物、藥品或植物有危及生命的過敏反應 ? Is your child allergic to BEE STINGS, FOODS, MEDICINES or PLANTS ?是 Yes否 No若是，請列下If yes, please listSeparator其他請說明 Other informationSeparatorAgreementAccess Agreement here.Agreement*I/We agree have read and agree to the terms of SBCS Agreement<hr>Parent/Guardian Name*Date*Submit Application Error occured. Please confirm your data and submit again:
