Course Application From

Name in Chinese: 

Name in English: 

Sex:  Male Female

Age:  5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 or above

Tel No:  (Day) (Night)

Address:

Course & Grade: 

Time Preferable: 

Chosen Teacher:  Irene Leung Wai Man   Ha Bun