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Saratoga Vision Chinese School Registration Form 2017-2018
Registation Fee and Important Dates
Registration fee: $600 for 2017-2018 school year
50% refund if the cancellation is made on or before July 31st, 2017.
No refund if the cancellation is made on or after August 1st, 2017.
Please read the parent handbook in Registration page.
I have read the parent handbook. *
Student First Name *
Your answer
Student Last Name *
Your answer
Student Chinese Name
Your answer
Sex *
Student DOB *
MM
/
DD
/
YYYY
Day School *
Your answer
Grade in September, 2017 *
Class to Register *
Check # *
Your answer
Home Address *
Your answer
Home Phone Number *
(###)###-####
Your answer
Main Contact Person *
(###)###-####
Your answer
Main Contact Phone Number *
Your answer
Father Name *
Your answer
Father Cell Phone Number *
(###)###-####
Your answer
Father Email *
Your answer
Mother Name *
Your answer
Mother Cell Phone Number *
(###)###-####
Your answer
Mother Email *
Your answer
Emergency Contact Name *
Your answer
Emergency Contact Phone Number *
(###)###-####
Your answer
Please read the registration handout and then print and sign the photo and medical release form.
I have read and the registration handout. *
Type Your Name to Electronically Sign *
Your answer
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