2004 Summer Program Session III (July 19 – July 30)

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.      Morning (9 am — 12 pm) (July 19 — July 23) $80.00                                            

      Morning (9 am — 12 pm) (July 19 — July 30) $160.00                                          

2.      All Day (9 am — 3 pm) (July 19 — July 23) $137.50                                             

      All Day (9 am — 3 pm) (July 19 — July 30) $275.00                                             

3.      Extended (8 am — 6 pm) (July 19 — July 23)$157.50                                           

      Extended (8 am — 6 pm) (July 19 — July 30)$315.00                                           

4.      Chess camp (9 am — 4 pm) (July 26 — July 30) $175.00                                      

5.      Chess camp + before/after camp care $215.00                                                       

6.      Lunch (□M□T□W□T□F) $2.60/day                                                               

7.   Registration fee (for new students only) ($20.00)                                                   

 

                                                                                                 Total:                           

 

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 257^th PL SE, Issaquah, WA 98029 by July 5, 2004.

 

Please add 15% late registration fee to your total if you register after July 5, 2004. 

 

There will be a $30.00 cancellation fee.