Blacksburg Chinese School 2019-2020 Children Program Registration
All the programs will be starting in August unless otherwise indicated.
BCS Membership 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)
Miscellaneous fee: $ 10/semester for each student to cover school supply
Every class needs to have at least two students, otherwise, the class will be canceled without further notice.
Feel free to contact info@blacksburgchineseschool.org if you have any questions regarding registration! Thanks!
Name *
Your answer
Age *
Your answer
Gender *
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
Parent/Guardian's Signature *
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of Blacksburg Chinese School. Report Abuse - Terms of Service