A. STUDENT INFORMATION
Weeks Attending
Week 1
Week 2
Week 3
Week 4
Week 5
Week 6
Week 7
Family/Last Name
Given Name
Date Of Birth
Sex
School Currently Attending
Grade
English Studies
Allergies or Medical Problems
Homestay Required
B. CONTACT INFORMATION
Name of Parent/Guardian
Phone
Email
Name of Local Contact
Relationship
Address
Vancouver Formosa Academy 5621 Killarney Street Vancouver, BC, Canada V5R 3W4
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