Southern Connecticut Chinese School, SCCS, Chinese Language School, New Haven Chinese School

New Member or Primary Contact Profile

(For a new family, Primary Contact should be a parent or guardian)



Male Female

Yes

e.g. firstname.lastname@gmail.com
e.g. 203-456-7890


e.g. 123 Main St Apt 4
e.g. New Haven
e.g. CT
e.g. 06510
Willing to serve school as a member of Board of Directors in the future?

e.g. 1234 Steve Zhang

e.g. Research Scientist
e.g. ABC Company
e.g. Hunting, Running

I do NOT want my name to be listed in school directories.

I do NOT want picture or video to be taken on me.



Please check you are not a robot