REGISTRATION FORM FOR FUNHOUSE E.

CLUB
MEMBERSHIP

Dao Duy Tu high school

Part I. Candidate information

Please provide your personal information by filling in the blank:

Full name:
Last Middle First

Address:
Number Street District City/Town

Current class School Dao Duy Tu high school Gender M/F

Home
Phone Date of birth
Cell Month Day Year

Email address

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 Part III. ABT U

Answer all the questions below

Part(optional)
II. Time you can spend with us

1. Which skills of English you want to improve

Please be specific about the time you can spend with us in the following chart.
If your schedule in a particular time is full, please leave it blank.

Day Time
Morning Afternoon
Monday From: To: From: To:
Tuesday From: To: From: To:
Wednesday From: To: From: To:
Thursday From: To: From: To:
Friday From: To: From: To:
2. Tell
Saturday us more about
From:yourself To: From: To:
Sunday From: To: From: To:

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