Mingyuan Chinese School 2019-2020 Registration Form

Dear Parents,

Please help us streamline the registration process by filling out an online form below. Our fall semester will start on Saturday, September 14, 2019 at 4401 2nd Ave NE, Seattle, WA (Discovery House behind Dick's Drive-in in Wallingford).

Tuition is $260 for 15 weeks of classes on Saturdays from 9:15am - 12pm. (We will pro-rate if you start late). Siblings get $5 discount for the first one and $10 for the second one, and so on. Adult classes are $210 each. Tuition will increase by $10 after September 14, 2019.

Cancellation Policy: Pro-rated refund less $10 processing fee.

Please write a check payable to Mingyuan Chinese School on the first day of school. We also offer paypal payment but will charge 3% more to cover the fees. Thank you!

Student's Last Name *

Your answer

Student's First Name *

Your answer

Date of Birth *

YYYY

Gender *

Male

Female

Other

Food Allergies *

Your answer

Parent/ Guardian 1's Name *

Your answer

Parent/ Guardian 1's Cell Phone *

Your answer

Parent/ Guardian 1's Email *

Your answer

Parent 2's Name

Your answer

Parent 2's Cell Phone

Your answer

Parent 2's Email

Your answer

Mailing Address

Your answer

Emergency Contact Person *

Your answer

Emergency Phone *

Your answer

Languages Spoken at home

Your answer

Chinese Language Proficiency *

None

Some

Fluent

Tuition *

Please tick the applicable box.

$260 (regular class- 1st student in family)

$210 (regular class- adult)

$255 (regular class- 2nd student in family)

$250 (regular class- 3rd student in family)

$245 (regular class with 4th student in family)

Payment Method *

Cash/Check (Preferred)

Paypal (Will send invoice)

Submit

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