2020-2021 Saturday School - Enrollment 2020-2021學年週六班報名表
各位家長您好:

由於聖瑪利諾學區公佈今秋所有課程及活動均採取線上方式進行,為了學生的安全考量,校董會也確定宣佈中文學校的週六班採取同樣的安全線上教學,並訂開學日為八月二十二日,如果有任何問題歡迎與辦公室聯繫,謝謝!

2020-2021學年度課程及上課時間如下
普通班及CSL班: 上午九點到十二點,$555
高中班: 上午八點半到十二點半,$615
AP班: 下午一點半到五點半,$1235

每個家庭需另繳報名費用$30 元。同一個家庭第一位學生收全額,其餘的一律各享10元優惠。
有意上AP班的同學,請與辦公室聯絡。

*送出報名表後, 您將會收到確認及付款訊息, 謝謝您!
**每一份報名表格限填一位學生

Dear Parents,

San Marino School District Superintendent Dr. Jeff Wilson announced that all classes and activities will now use a 100% virtual model of teaching and rigorous learning. For safety concern, the Chinese School of San Marino committee also confirmed to have the same ONLINE learning model for the After school and Saturday programs as well and the first school day is scheduled on August 22. If you have any questions, please contact the office. Thank you!

The schedule and tuition fee as follows:
Regular and CSL(Chinese as a Second Language)Class, 9 to 12 pm on Saturday $555
High School Class, 8:30 to 12:30 pm on Saturday $615
AP Class, 1:30 to 5:30 pm on Saturday $1235

1st School Day: August 22, 2020

Every household is required to pay a $30 registration fee. Additional $10 discount for two or more per family.
Please contact the office if you are interested in our AP Program.

*After submitting, you will be receiving confirmation and payment instruction. Thank you!
**Please complete one for each student.
學生的英文姓名 Student's English Full Name *
學生的中文姓名 Student's Chinese Full Name
學生目前就讀學校/年級 Student's Current School Name/Grade *
學生的出生日期 Student's DOB *
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YYYY
家長/監護人/父親姓名 Parent/Guardian/Father's Full Name *
家長/監護人/父親聯絡電話 Parent/Guardian/Father's Contact Phone No. *
家長/監護人/父親郵件信箱 Parent/Guardian/Father's Email Address *
家長/監護人/母親姓名 Parent/Guardian/Mother's Full Name *
家長/監護人/母親聯絡電話 Parent/Guardian/Mother's Contact Phone No.
家長/監護人/母親郵件信箱 Parent/Guardian/Mother's Email Address
郵寄地址 Mailing Address *
請仔細閱讀以下課程費用 Please read the following fee carefully.
報名費 (Registration Fee): 每個家庭報名費30元,恕不退還。
Every household is required to pay a $30 registration fee. (Non-Refundable)

普通班,CSL班學費 (Regular, CSL Class Tuition): $555元,費用包括課本、補充教材、班費及年刊費。
The Regular Class and CSL Class tuition includes the textbook, workbooks, extra fee for class and school activities and yearbook.

高中班學費 (High School Class Tuition): $615元,費用包括補充教材、班費及年刊費,不包括課本。
The High School Class tuition includes the supplemental materials, extra fee for class and school activities and yearbook only. Textbook & workbook are excluded.

AP中文班學費 (AP Chinese Tuition): $1235元,費用包括補充教材、班費及年刊費,不包括課本。
The AP Chinese tuition includes the supplemental materials, extra fee for class and school activities and yearbook only. Textbook & workbook are excluded.

同一個家庭第一位學生收全額,其餘的一律各享10元優惠。
The Second and subsequent students from each household will receive a $10 discount on tuition.
報名的課程 Saturday Program *
退費辦法 TUITION REFUND POLICY *
家長須向本校索取退費申請表,填妥資料並簽名,交給班級老師或行政人員,由辦公室轉呈校董會辦理退費。 1. 報名費一概不退回。 2. 學校上過一次課以後,學費僅退50%。 3. 學校上過兩次課以後,學費僅退25%。 4. 超過九月份以後概不退費,學費也不得保留至第二年。 Refund Policy: Parents must complete a Tuition Refund Form and submit to a teacher or office staff for processing. 1. The $30 registration fee is non-refundable. 2. The refund is 50% after the first week of school. 3. The refund is 25% after the second week of school. 4. There are no refunds given after September, and tuition fee cannot be credited towards classes for the next year.
Required
本人同意並授權聖瑪利諾中文學校拍攝、修飾、使用、公開展示本人與法定代理人的肖像、影片與聲音。聖瑪利諾中文學校可使用授權肖像來展示及宣傳服務項目。並得用於設計、製作、印刷、傳播、網站與新聞等各項廣告宣傳資料或以各種方式來呈現授權肖像之全部或部分且可公開發表,及著作權法賦予著作人所擁有之權益。聖瑪利諾中文學校可無須再通知或經由本人與法定代理人同意,但於公開發表時必須尊重個人形象,不得發表於非正當管道。 I hereby give the Chinese School Of San Marino permission to use photographs/ video/ sound of the adult and the minor(s) named below for publicity, promotion, news releases, videos, advertisements and web use of the Chinese School Of San Marino. This might also apply to written compositions or visual art pieces of minors if they are published. I hereby release and discharge the Chinese School Of San Marino from any and all claims arising out of the use of the photography/ video/ sound that I or the minor(s) listed may have in this regard. *
1. Zoom為所有週六班線上課程老師所使用的同步教學平台,請您先在自己的設備上安裝完畢。如果您需要安裝指南請聯繫辦公室。 2. 任何一個課程五人為最低開班要求。 3. 請遵守實體教室的課堂規則,勿走動,勿飲食。 4. 為了確認學生的學習情形,請同意您的孩子打開攝影機提高參與課程的效果。 5. 請尊重隱私,勿錄影。 6. 開課之前會分別安排家長來辦公室領取課本、習作本及才藝課材料。 1. Our teachers are using Zoom, this software for online course during this semester. Please install it before the class starts. If you need the instruction please contact the office. 2. Five students minimum for each class. 3. Please follow the physical classroom rule, no walking and no eating. 4. Please consent to turn on the camera during the class to join the teacher together for effective learning. 5. Please respect the privacy, no recording. 6. We will arrange a safe schedule for picking up textbook/workbook and materials before the class starts. *
Required
如果在緊急狀況下無法聯絡到家長或監護人,請通知下列人士,本人委託他們代為決定。 In the event I cannot be contacted, please notify the following Emergency Contact Person to whom I would be willing to have my child released.
請注意: 學校不會將學生授權給緊急聯絡名單外的任何人士,請列出最少一位姓名與他的證件相符。 Please note: We cannot release your child to any additional persons unless their name is listed below. Please list at least 1 name as they appear on Photo IDs.
緊急聯絡人姓名及電話 Emergency Contact /Phone No. *
學生保險及號碼 Insurance Carrier/Policy No. *
家庭醫師及聯絡電話 Family Doctor/Phone No. *
過敏情形(如果沒有請標註: 無) Allergies(If No, Please List N/A) *
學生就讀於聖瑪利諾中文學校週六班課程,在校活動期間由全體老師負起督導及教育之責,但希望能督促並提醒遵守以下事項:1. 養成學生按時上課的習慣,聽到哨鈴聲立刻回教室上課,鼓勵孩子爭取全勤。 2. 學生因事不能到校請事先向班導師或辦公室請假。 3. 不可在教室吃喝東西,不可破壞公物或亂動教室東西。 4. 在任何時間學生不可單獨停留在教室,禁止在校園內及走廊奔跑。 5. 請勿攜帶貴重物品,例如遊戲機、手機、現金及任何電子產品,一旦遺失學校不負任何損失賠償責任。手機在上課時間務必關機。 6. 學生因事需提早離開校園請家長先到辦公室辦理早退簽到並領取通行證才可進入教室接您的孩子離開校園,謝謝配合。 7. 學生在校期間如有任何不適,請立即告知其任課老師及辦公室,以便在第一時間做出緊急處理。 8. 學生在校活動期間必須遵守學校所有規定,若因不遵守規則而發生意外,家長必須自行負責。Given the student attends the Chinese School of San Marino’s Saturday Program, while attending and participating in the Program, CSSM instructors are responsible for their education. We hope parents and guardians will remind their students of the following: 1. Encourage your children to be punctual and in attendance every school day. Students with perfect attendance will be recognized at the end of the program. 2. If your children will be absent, please contact their instructor(s) or School Office (626) 796-5190, info@ccsm.org in advance. 3. No eating or drinking in the classroom. Do not damage school property or move any equipment in the classroom. 4. Students need to proceed to their assigned classrooms under adequate adult supervision. Running through the campus and hallways is prohibited. 5. Please do not bring expensive items, such as gaming systems, cash and any technical equipment. School will not be responsible for loss or damage to the property. Please turn off the cell phone during the class. 6. If your children will be leaving early, please sign the early dismissal at the office (HMS campus) and get the pass first before entering the classroom to pick up your kids. 7. If students are feeling unwell, please have them immediately inform their instructors and/or office staff, so that instructors can take necessary precautions. 8. Students are to follow school rules and regulations. Should any injury occur because students violate conduct, parents/guardians are to bear responsibility. *
Required
Electronic Signature/Date 電子簽名/日期 * *
以下的電子簽名及日期聖瑪利諾中文學校視為等同手寫簽名的效力,我確認所有提供的訊息都是正確無誤的。 The electronic signature below and its related fields are treated by Chinese School of San Marino like a handwritten signature on the paper form. I affirm that all the information provided is true and correct to the best of my knowledge.
家長會義工調查 Volunteer Option *
Our Parent-Teacher Association (PTA) meets once a month and is involved in many aspects of our children’s education. We appreciate all the support from our parents to help make the school a success for children. On behalf of our children and school, we thank you in advance for your valuable time and support! 聖瑪利諾中文學校家長會每月一次聚在一起討論學生教育事宜,共同為實行家庭與學校合作的理念而努力。我們需要家長的參與。請您填下您有興趣幫忙的項目,感謝您寶貴的時間!
Required
Please check the areas that you would like to be involved in. If you have any questions, please contact the PTA at cssmptaboard@gmail.com. Thank you in advance for volunteering your time!!
請您提供其他的意見。 Any other comments and/or questions?
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