注册

你的名字*

你的邮箱*

华侨中文学校注册单

学期*

学生英文名*

学生英文姓*

中文姓名

性別*

生日*

家中母语*:
其他:

华语程度

班级: 新华语第: 简体中文第:

住址*

英文学校名称

年级*:

家长/监护人 1

英文名*:
英文姓*:
中文姓名:
关系:
住家电话:
手机:
工作电话:

家长/监护人 2

英文名:
英文姓:
中文姓名:
关系:
住家电话:
手机:
工作电话:

紧急联络人

姓名:
关系:
住家电话:
手机:
工作电话:

家庭医师

姓名:
住址:
电话:

AUTHORIZATION FOR EMERGENCY MEDICAL CARE AND CLAIM WAIVER:
I HEREBY ACKNOWLEDGE MY CHILD’S ENROLLMENT IN AMERICAN CHINESE SCHOOL (ACS) AND I GRANT MY PERMISSION FOR MY CHILD TO
PARTICIPATE IN ALL ACS ACTIVITIES. I HEREBY AUTHORIZE THE EMPLOYEES OF AMERICAN CHINESE SCHOOL TO ADMINISTER GENERAL FIRST
AID TREATMENT FOR ANY MINOR INJURIES OR ILLNESSES EXPERIENCED BY MY CHILD. IF THE INJURY OR ILLNESS IS IN NEED OF EMERGENCY
TREATMENT, I AUTHORIZE ACS TO SUMMON ANY AND ALL PROFESSIONAL EMERGENCY PERSONNEL TO ATTEND, TRANSPORT, AND TREAT THE
CHILD. I AGREE TO ASSUME FINANCIAL RESPONSIBILITY FOR ALL EXPENSES OF SUCH CARE. I AM HEREBY WAIVING ALL CLAIMS AGAINST ACS
AND/OR ROWLAND UNIFIED SCHOOL DISTRICT FOR ANY ILLNESSES, ACCIDENTS, INJURIES OR DEATH.

退费办法: 所有退费皆需扣除手续费$50 后其办法如下: 开学前可退全费,开学后第一周退半费,第二周起概不退费

本人已领取”家长须知”并同意配合 (I have read and approved the above statement)

你的留言

Comments are closed