BCS Spring 2018 Children Program Registration
All the programs will be starting in January, unless otherwise indicated.
BCS Member Fee (once a year): $30/single; $40/family
*Members pay 80% tuition fee for all BCS language and culture classes.
Language Class Tuition Rate: $10/hour (for member only); $12.5/hour (non-member)
Feel free to contact info@blacksburgchineseschool.org if you have any questions regarding registration! If you intend to register for yourself as an adult, please sign up this form: goo.gl/8nVFnz. Thanks!
Name of Student *
Your answer
Age *
Your answer
Date of Birth *
Your answer
Gender *
Required
Current School *
Your answer
Mother/Guardian 1 Name *
Your answer
Mother/Guardian 1 Phone Number *
Your answer
Father/Guardian 2 Name *
Your answer
Father/Guardian 2 Phone Number *
Your answer
Contact Email Address 1 *
Your answer
Contact Email Address 2 *
Your answer
Emergency Contact Name *
Your answer
Emergency Contact Phone Number *
Your answer
Relationship *
Your answer
Does your child have any allergies? If yes, please explain.
Your answer
Has your child taken any Chinese class before? *
If yes, tell us about what level your child has finished.
Your answer
Language Program that your child wants to participate
Cultural Program that your child is interested in participating: (We will contact you for further information.)
Blacksburg Chinese School Parent/Guardian's Release Form * * *
Required
Signature *
Parent/Guardian Name
Your answer
Submit
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