Summer 2020 Registration Online | Duc Dinh Center

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2021 Summer Registration

Please choose your location:

Duc Dinh Center (Bellaire)

La Vang Church

Vien Thong Temple

Online (6th Grade and Up)

Upcoming Grade Level

Student Last Name

Student First Name

Middle Name

9th - 12th graders please choose one of each

8th/7th Grade - Select Algebra or Geometry:

Math Course

Algebra I

Geometry

Algebra II

PreCalculus

Science Course

Biology

Chemistry

Physics

Phone (Student's)

Studen's DOB

Gender

Parent Name 1 (Last, First)

Phone

Driver's License ID

Email

Parent Name 2 (Last, First)

Phone

Driver's License ID

Email

Address

City

State

Zip Code

Does your child have any allergies or medical conditions that need attention?

No

Yes

If yes, please explain

Does your child need transportation services?

No

Yes

If yes, please write location

Transportation will be provided within the premises of 5 miles. There are no additional fees for this service. If “yes” please be consistent with the location, and have your child ready to be picked up at the given time. Any changes regarding pick up needs to be addressed to Duc Dinh Center staff. Space is limited

Additional people allowed to pick up my child(ren).

STAY UP TO DATE

Email

I Accept Terms & Conditions

Thanks for submitting!

11810 Bellaire Blvd. Ste. D | iqeducate@gmail.com | Tel. 713-201-3286 | Tel. 832-818-1429

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