Chinese School of Delaware 2019-20 Registration Form
Chinese School of Delaware 2019-20 Registration Form
Email address *
Please go to www.CACCDelaware.org to pay for your CACC Family membership and provide your user ID (no password) below to start the registration process. If you have any questions regarding registration, please send an e-mail to info@ChineseSchoolDE.org
CACC Membership Paid *
Required
CACC Membership User ID *
Your answer
Please use attached Excel worksheet to calculate total payment and enter the amount below. Please forward a check with the amount payable to: CSD and mail it to: P.O. Box 1355, Hockessin, DE 19707
Total Amount to be mailed *
Your answer
Heritage Track is for families who speak Chinese at home; immersion track is for families who do not speak Chinese at home. Please note that no refunds are given if classes are canceled due to inclement weather or emergencies. School will try to make up lost days if schedule fits at school's discretion.
Parents' Name (Last name, First Name) (Doe, John & Jane) *
Your answer
Parents' Chinese Name (if available)
Your answer
Health Insurance *
Required
Street Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Phone Number *
Your answer
Email *
Your answer
Emergency Contact (e.g. John Smith) *
Your answer
Emergency Contact Phone Number *
Your answer
Student 1 English Name (Last Name, First Name) *
Your answer
Student 1 Chinese Name (if available)
Your answer
Student 1 DOB (e.g. 3/29/2009) *
MM
/
DD
/
YYYY
Student 1 Entering Grade at the CSD *
Student 2 English Name (Last Name, First Name)
Your answer
Student 2 Chinese Name (if available)
Your answer
Student 2 DOB (e.g. 3/29/2009)
Your answer
Student 2 Entering Grade at the CSD
Student 3 English Name (Last Name, First Name)
Your answer
Student 3 Chinese Name (if available)
Your answer
Student 3 DOB (e.g. 3/29/2009)
Your answer
Student 3 Entering Grade at the CSD
Student 4 English Name (Last Name, First Name)
Your answer
Student 4 Chinese Name (if available)
Your answer
Student 4 DOB (e.g. 3/29/2009)
Your answer
Student 4 Entering Grade at the CSD
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