Beijing Book Race Registration Form

Date of Birth: -- 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 -- 1 2 3 4 5 6 7 8 9 10 11 12 -- 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005

Parent/Guardian Name:

Phone:

Email address:

In which grade are you now?: -- 1 2 3 4 5 6 7 8

School: -- Australian International School Beijing Beijing BISS International School Beijing City International School (BCIS) Beijing Concord College of Sino-Canada Beijing World Youth Academy Beijing Yew Chung International School Beijing Zhongguancun International School British School of Beijing Canadian International School Daystar Academy Dulwich College Beijing (DCB) Family Learning House Fang Cao Di Primary School French College of Beijing (Lycée Français de Pékin) German School of Beijing (Deutsche Schule Peking) Harrow International School Beijing Indian Embassy School International Academy of Beijing International School of Beijing - Shunyi Pakistan College of Beijing Swedish School Beijing Western Academy of Beijing Other

If Other, Please Specify:

In the box below, please write a brief biography of yourself (maximum 200 words). If you are 7 years old or younger, you may ask a parent/guardian to assist you in writing this.

I agree to allow my child to participate in the Winter Beijing Book Race, sponsered by The Learning Center and Sports Beijing, held from December 7, 2009 to March 7, 2010. I further agree to allow my child's name and photo to be published if he.she is chosen as one of the 12 winners of this season's city-wide competition.

I do not wish to recieve newsletters or offers from either The Learning Center or Sports Beijing.