Beginner Class

CCEA

Welcome to Beginner Class!

juchien.ccea@gmail.com
(773)454-6108
Please complete this questionnaire and bring it to the next class. If you have any other questions,
concerns or goals regarding your childs Beginner Class experience, please do not hesitate to contact me.

Name of child: ______________________

In Chinese: _____________________

Grade in regular school: _______

Name(s) of parent(s) : _________________________________________________

Will a parent/caregiver be staying with your child (not required)? Yes/No

Preferred email address for receiving classroom communication:

Preferred phone number for receiving classroom communication:

Is this your childs first year at CCEA? Yes/No

Does your child have any siblings at CCEA? Yes/No

Name:

Grade at CCEA:

Is there a Mandarin speaker at home? Yes/No

Proficiency:

Does your child have any food allergies? Yes/No

Allergic to:

Please share your expectations and goals for your child for the school year.

Miss Juchien