www.chineseacademy.org

 

树人中文学校

Sammamish Chinese Academy

2003年秋季国际象棋课报名表

Chess Class Registration Form Fall 2003

 

 

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/手机)

Phone (home):                               (work/cell):                                                                                                                                         

 

国际象棋程度                                                                               

Estimated Chess ability:                                                                                                                                                                                                              

 

国际象棋课Chess Class:

12:15 pm – 1:15 pm                               Chess (15 sessions) ($150.00)                                                                         

 

(Students are expected to bring their own chess set if possible.)

Vinyl roll-up chess board, pieces, and carrying case - $20.00 (tax inc.)                                                       

                                                                                                (class special)

 

 

 

                                                            Total:                                                                                

 

 

Please send your check with the form to Sammamish Chinese Academy, 4228 257^th PL SE, Issaquah, WA 98029.