学生姓名(英文) (中文)
Student Name (English): (Chinese):
年龄 性别
生日
Age:
Gender: Date of Birth:
家庭住址
Home address:
家长或监护人
Parents/Guardians:
电子邮件
E-mail:
电话(住宅)
(工作)
Phone (home): (work):
(手机)
(cell):
1.
Afternoon
(1:30 pm — 6 pm) $105.00
2.
Lunch
(□M□T□W□T□F) $2.60/day
3. Registration fee (for new
students only) ($20.00)
Total:
Registration
for VBS is done through the Church office.
SCA offers a 10% discount on
tuition for each additional child from the same family.
Please write your
check payable to Sammamish Chinese Academy and send your check to 4228 257th
PL SE, Issaquah, WA 98029 by June 28, 2004.
Please add 15%
late registration fee to your total if you register after June 28, 2004.
There
will be a $30.00 cancellation fee.