Program is from July 6th to August 13th, 2021. K-5th grades meet on Monday, Wednesday and Friday, and 6th-12th grades meet on Tuesday and Thursday. The program meets in-person at the Burma Center. Program fees are $100 for K-5th, $75 for 6-12th, and $50 for each additional student from the same household. Fees can be paid in cash, check or debit/credit card at the Burma Center Office (765 Upton Ave, Springfield, MI, 49037). If you have any questions about the program, contact Jenifer Pui at 269-888-3635 (call/text).

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* Student's first name

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* Student's middle name

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* Student's last name

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* Student's date of birth

Date

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* Student's gender identity (please select all that apply) [ကျားမဝိသေသလက္ခဏာ။]

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* Which session your child will attend? [နွေရာသီတက်မည့် အတန်းရွေးပေးပါ။ Summer Program kai ding mi session in hril sak aw.]

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* Student's speaking skills in Burmese [မြန်မာစကားဘယ်လောက်ပြောတတ် သလဲ။ Kawl tong ziang tluk tong thiam?]

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* Student's writing skills in Burmese [မြန်မာစာ ဘယ်လောက်ရေးနိုင် သလဲ။ Kawl ca ziang tluk a ngan thiam?]

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* Student's English reading level (only for K-5th grade students) [English reading level ဘယ်လောက်ရှိသလည်း။ Mirang ca ih reading level ziang zet asi- Kindergarten in phun 5 tlawngta hrang lawng phih tul asi.]

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* Student's math level (only for K-5th grade students) [သင်္ချာ level ဘယ်လောက်ရှိသလည်း။ Math level ziang zet asi?] 

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* Father/guardian 1 first name

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* Father/guardian 1 last name

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* Contact phone number

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* Email address

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* Mother/guardian 2 first name

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* Mother/guardian 2 last name

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* Contact phone number

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* Email address

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* What is your street address?

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* City

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* Zip code

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* Do you need help with transportation? [ကြိုပို့ အကူညီ လိုအပ်ပါသလား။ Burma Center feh tlung hmuak nak bawm tul maw?]

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* Please write down anything you want us to know about your kid. [သင့်ကလေးနှင့် ပတ်သက်ပြီး သိစရာများရှိပါက ရေးပေးပါ။ Na fa thawn pehpar in thei tul mi pawl in ngan sak aw.]

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* Does your kid have any allergy? [ကလေးမတည့်သော အစားအစာများရှိသလား။]

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* Do you need scholarship to help pay for program cost? [Program အခကူပေးရန် Scholarship လိုအပ်ပါသလား။ Program fee pek ding bawm tul maw/ scholarship tul maw?]

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* Are you signing up for another student? [အခြားနာမည်သွင်းမည့် ကလေးရှိသလား။ Hmin cazin pek ding milai dang um lai maw?]

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