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Summer Program Registration

Student Information

Name (English): *

Name (Chinese):

Address: *

Current School: *

Mandarin Language Level: *

Refer to page 7 of the Summer Program Handbook.

Date of Birth: *

Gender: *

Male

Female

Citizenship: *

Home Phone: *

Grade in Sept. 2010: *

Parent Information

Parent1 Name: *

Parent1 Address: *

Parent1 Phone: *

Parent1 Employer:

Parent1 Work Address:

Parent1 Work Phone:

Parent1 Primary Email: *

Parent2 Name:

Parent2 Address:

Parent2 Phone:

Parent2 Employer:

Parent2 Work Address:

Parent2 Work Phone:

Parent2 Primary Email:

Session One

Session One:

Morning Care 8am-9am -- $175

Half Day 9am-12pm -- $900

Full Day 9am-3pm -- $1,300

Afternoon Care Plan A 3pm-6pm -- $275

Afternoon Care Plan B 3pm-4pm -- $175

Child Care Combo Morning/Afternoon -- $400

Mandarin Camp by the week

Week 1 -- $440

Week 2 -- $440

Week 3 -- $440

Week 4 -- $440

Session Two

Session Two:

Morning Care 8am-9am -- $175

Half Day 9am-12pm -- $900

Full Day 9am-3pm -- $1,300

Afternoon Care Plan A 3pm-6pm -- $275

Afternoon Care Plan B 3pm-4pm -- $175

Child Care Combo Morning/Afternoon -- $400

Mandarin Camp by the week

Week 1 -- $440

Week 2 -- $440

Week 3 -- $440

Week 4 -- $440

Copyright

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