Copley High School Smoke Signals - Copley-Fairlawn City Schools
Copley High School Smoke Signals - Copley-Fairlawn City Schools
Copley High School Smoke Signals - Copley-Fairlawn City Schools
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Current Grade Level<br />
(only 7-12 eligible)<br />
<strong>School</strong> Information<br />
Name of <strong>School</strong><br />
Years of Chinese<br />
Language Study<br />
I attended Chinese<br />
Summer Camp last year Yes No<br />
Full Name:<br />
Parent / Guardian Emergency Contact Information<br />
Last First M.I.<br />
Address if different :<br />
than student Street Address Apartment/Unit #<br />
<strong>City</strong> State ZIP Code<br />
Home Phone: ()<br />
Emergency<br />
Phone:<br />
Relationship:<br />
A $ 30 registration fee is due along with this application by June 15, 2010. Please make<br />
checks payable to: The Confucius Institute at The University of Akron<br />
307 Quaker Square Akron, OH 44325-9003<br />
Questions?: 330-972-2013 ciua@uakron.edu www.uakron.edu/ci
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