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RUYEE ACADEMY
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User Name
Password
Student Name
Sibling Name
Birthday
Age
Student Chinese Name
Current Grade
K
G1
G2
G3
G4
G5
G6
G7
G8
G9
G10
G11
G12
Others
Chinese Level
Attending English School
Skills & Interest
Email
Home Address
Need Pickup
Yes
No
After school students only!!!
Contact information
Parent/Mom
Cell Phone
Parent/Dad
Cell Phone
Emergency Contact
Cell Phone
Mom/Dad email
Relationship to Student
Medical Information(After-school and Camp students only)
Food Allergy
Other Medical Conerns
Medical Insurance Plan
Physician's Name and Phone
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