J & R 2018 Summer Camp Promotion 6/18-8/24/2018 7:30am-7pm Monday-Friday
*One Child per Form
*J&R T-shirt , water bottle, chop sticks, Sun lotion are needed daily
*Lunch is posted daily on brightwheel
*Weekly field trip schedule is posted on brightwheel and it may change with or without notice
*Please use brightwheel to sign in/out your child ( J&R device is available for parents to use for sign in/out)
Email address *
Child's First Name *
Your answer
Child's Last Name *
Your answer
Parent's Name *
Your answer
Parent's Phone Number *
Your answer
Parent's email address: *
Your answer
Summer Daily Schedule:
2018 Summer Camp Field Trips and Workshop
Please Choose the weeks 6/18/2018-8/24/2018 *
Register and Pay 3/1/2018 - 6/15/2018 *
Register and Pay after 6/15/2018 *
Pay Tuition:
*Paypal to lyn@jrlearning.com
*Pay by check to "J&R Learning Center" family & friends account
( Please drop the check into our mailbox with your child's name)
( Do not give check or cash to our staff)
Payment Agreement
-Make payments out to “J&R Learning Center”, returned checks are subject to a $50.00 non-refundable fee.
-All Payments are due in full at the time of registration.

-No refund for any reason unless the week of summer camp is canceled. If this happens, J&R will refund the parents the full payment of the week.
-Class Schedules & Field trips can change with or without notice
-Use brightwheel sign in/out daily. Miss signature charge is $5 per time.
-Lunch Menu may change with or without notice
-New students registration fee $200. It is one time charge and non refundable
-We will give $200 tuition credit as our promotion sign in bonus for our summer campers who sign up for 6 full weeks and more. This $200 tuition credit has no cash value. Parents can't cash out, However, it can cover parents' miss signature charges ( $5 per time), or parents can use it for any summer camp days ( $100 per day per child). Any unused tuition credit can roll over toward the following school year.

I have read J&R payment agreement. I agree and follow the payment agreement

Parent's e-Signature *
Your answer
Liability Release and Field Trip Permit:
The undersigned, in consideration of participation in Jia-Ray Learning Center Classes, services, field trips and activities, the ride by J&R vans, agrees to indemnify and hold Jia-Ray Learning Center harmless and release Jia-Ray Learning Center of any and all liability for any injury/death which may be suffered by the children registered at Jia-Ray Learning Center, arising out of or in any way connected with participation in the activities except those arising out of the sole willful act or sole negligent act of Jia-Ray Learning Center or its employees.

I have read the above liability release, and fully understand that I assume all risks for any injury/death received to my child. I give permission to Jia-Ray Learning Center for any necessary medical care to be given to my CHILD (ren) in case of an emergency AND/OR accident. I agree to assume full responsibility for the costs of any treatment provided to my child.

Parents’ e-signature below indicates that the parents have read, understand and accepted our field trip policy & Liability Release agreement

Parents' e-signature: *
Your answer
A copy of your responses will be emailed to the address you provided.
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