Student Registration - Ridgefield International Education Ltd.

Dear customer, thank you for choosing RFIE.
Please fill in the registration form below. We will contact you and provide you all necessary information to make this summer camp a success.
Thank you
Your Ridgefield International Education Team

Summer Camp Registration

Student Information:
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First Name: (required)

Middle Name:

Last Name: (required)

Gender:
MaleFemale

Date of Birth: (required)

Email: (required)

Telephone:

Hobbies:
your hobbies here ...

Summer Program:
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ESL:

LIT:

Parent Information:
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Relationship:

First Name: (required)

Last Name: (required)

Email: (required)

Mobile Phone:

Business Phone:

Home Address:
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Home Address: (required)

City: (required)

State: (required)

Postal Code: (required)

Country: (required)

Additional Information:
your message here ...

Please leave this field empty.