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一帆中文学校报名表
地址:1765 S Main street, suite 125, Milpitas, CA 95035
邮箱:yifanedu2023@gmail.com
微信号:yifanedu2023 
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Email *
学生中文姓名/ Student Chinese Name *
学生英文姓名/ Student English Name *
出生日期/ Date of Birth *
MM
/
DD
/
YYYY
性别/ Gender *
所在学校名称/ School name *
Student's Grade (Fall 2025) *
Required
家庭住址/ Home address *
监护人姓名/ Guardian's name *
电话/ phone number *
家长微信/wechat
邮箱/ Email address *
有无食物过敏/ Any food allergies? *
如有食物过敏,请特别向老师说明,谢谢!
学费支付方式(包括:Afterschool 新生一次性注册费 $65;  报名费 $450;  材料费 $5/周(Camp  $5/天)请在与老师确认总金额后再付款。谢谢! *

温馨提醒:Afterschool 报名费如果提前一个月通知,可用于抵扣最后一个月学费。
同时,所有项目已缴费用将以学分形式保留,可供后续课程使用,恕不退还。谢谢!

Friendly Reminder:
If notice of withdrawal is provided at least one month in advance, the Afterschool deposit may be applied toward the student’s final month of tuition.
Additionally, all fees paid for any program may be converted into credit for future courses, and are non-refundable. Thank you!

Required
2025秋季课程选择
推荐人(孩子名字)/ Referrer

Media Release and Liability Waiver (Including Field Trips)

I give permission for YiFan EDU Academy to take and use photos or videos of my child and/or their work during school activities, including classes, events, performances, and field trips. These may be shared in print or digital media, including the school website and WeChat, for educational or promotional purposes.

I understand that while YiFan EDU Academy takes reasonable precautions to ensure student safety, participation in school activities—including off-campus field trips—may involve certain risks. I voluntarily release the Academy, its staff, and representatives from any liability for injuries or damages arising from my child’s participation.

*
父母/ 监护人签字 / Signature of parent/ guardian (print) *
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