www.chineseacademy.org

树人中文学校Sammamish Chinese Academy

2004年秋季报名表Registration Form Fall 2004

 

 

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):                                                      

 

1:50 pm – 2:50 pm         Art with Ms. Hsu ($195.00)                                                               

1:50 pm – 2:50 pm         Pin-Yin ($70.00)                                                                                

3:00 pm – 5:00 pm         Mandarin Chinese ($135.00)  Track A  Track B                                

5:15 pm – 6:15 pm         Chess with Mr. Neff ($140.00)                                                          

5:15 pm – 6:15 pm         Art with Ms. Hsu ($195.00)                                                               

幼儿中文You Er Zhong Wen ($20.00/set)                                                                             

中文Zhong Wen, Book 1 to 6 ($10.00/set)                                                                            

中文Zhong Wen, Book 7 to 12 ($15.00/set)                                                                          

拼音Pin-Yin ($6.00/set)                                                                                                         

注册费Registration fee (for new students only) ($25.00)                                                         

             (If you are registering for art or chess classes only, please add the $25.00 registration fee.)

 

                                                                                                 Total:                                      

 

Please take a 10% off Mandarin Chinese TUITION for each additional student from the same family.

To help us prepare school supplies, please send your registration by August 31 to Sammamish Chinese Academy, 4228 257^th PL SE, Issaquah, WA 98029.  A late fee of $20.00 will be applied to registration post marked after August 31.