BCS Fall 2017 Adult Program Registration

All the programs will be starting in August, 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 your child(ren), please sign up this form: goo.gl/HnocQr. Thanks!

Name *

Your answer

Age

Your answer

Gender *

Male

Female

Contact Email Address *

(Please check frequently for class updates.)

Your answer

Contact phone number *

Your answer

Emergency Contact Name *

Your answer

Emergency Contact Phone Number *

Your answer

Relationship *

Your answer

Have you taken any Chinese class before? *

Yes

If yes, tell us about what proficiency level you are at.

Your answer

Language Program that you want to participate

Conversation Chinese

Contemporary Chinese (Listening, Reading, Writing, Speaking)

Cultural Program that you are interested in participating: (We will contact you for further information.)

Chinese Yo Yo Group

Chinese Lion dance

Intro Chinese Calligraphy (Ten students max. Five classes from July 25 to August 8)

Chinese Calligraphy class (Ten students max. Starts on August 13 or later.)

Blacksburg Chinese School Parent/Guardian's Release Form * * *

I give my permission for myself to participate in the Blacksburg Chinese School programs. I will not hold the Blacksburg Chinese School, facility providers, volunteers, or paid and unpaid staff members liable in case of accidents or injuries, that may occur in any kind of activities administered or sponsored by Blacksburg Chinese School for studentson school site or off school site.

I acknowledge and agree that Blacksburg Chinese School has the right to cancel any class with less than three students enrolled, and therefore refund the full tuition without charge of any processing/administrative fee.

I understand that photographs or videos of me may be taken during said program, that my likeness may appear in media coverage and publicity regarding said program, for which no compensation in any form will be made by BCS, and I give my consent to these conditions.

Required

Signature *

Name

Your answer

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