2004 Summer Program Session II (July 12 – July 18)

Enrollment Form

 

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

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 (MTWTF) $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.

Hosted by www.Geocities.ws

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