Cultural Exchange Options Inc. (CEO) 美亚国际文化交流中心

3rd Floor, Lide Building,
Sichuan International Studies University,
32 Zhangzhi Road，Shapingba District, Chongqing, 400031 China.
中国四川外国语大学西区办公楼三楼
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International Culture Summer Camp

2019 CAICE Application Form
(For 10-18-year-old participants, low-age students are allowed to come with parents)

Personal Information
First Name
Middle Name
Last Name
Gender Male Female
Date of Birth MM/DD/YYYY
Home Address
Cty
State
Zip Code
School Address
Cty
State
Zip Code
Pre-existing Health Condition
Do You Have Passort Yes No
Emergency Contact
Father's Name
Phone Number
E mail
Mother's Name
Phone Number
E mail
If Parents Come Together
Parents Address (if different)
Cty
State
Zip Code





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www.culturalexchangeoptions.com
3rd Floor, Lide Building,
Sichuan International Studies University,
32 Zhangzhi Road，Shapingba District, Chongqing, 400031 China.
四川外国语大学西区办公楼三楼
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