2019 Chinese Bible Church of Maryland Chinese School Summer Camp Registration Form (One Child Per Form)
1. SUMMER CAMP FEE. For children who are entering 1st grade to 8th grade in the fall, 2019. Registration fee: $95. Special discount: $85 if you register by May 26. The fee includes Friday pizza lunch. Your child needs to bring his/her own lunch Monday through Thursday. The registration deadline is June 9. The registration is not completed until the full payment is received. 夏令營將招收今年秋天升一至八年級的孩童,費用是九十五元;在五月二十六日(含)前註冊,是八十五元。這費用包括週五的PIZZA午餐。請注意:請為您的小孩準備週一至週四的午餐。註冊截止日期是六月九日。

2. Please MAIL CHECK to CBCM Chinese School, 4414 Muncaster Road, Rockville, MD 20853 with appropriate amount (excluding VBS amount) or come to church and give to Fonnein Lin, the Principal of Chinese School. THE REGISTRATION IS NOT COMPLETED UNTIL THE FULL PAYMENT IS RECEIVED BY CBCM-CS. 請用支票付款。付款抬頭請寫CBCM-CS. 請馬上將支票,寄到教會,或交給林豐年校長。您的小孩名字會放在 WAITING LIST. 等學校收到您的支票後,才會將您的小孩編入夏令營班級。

3. SUMMER CAMP DATES - 6/17 - 6/21, 12:15PM till 4:00PM. The CBCM VBS is in the morning from 9:00AM till 12:15PM. SUMMER CAMP CAPACITY - The Summer Camp capacity is limited (MAX: 90), children will be accepted on a “first come, first serve” basis. 夏令營的參加人數,最多是九十人,先到先收,額滿為止。

4. If you have any questions, please TEXT or CALL Summer Camp Coordinator, Jane Shue at 301-526-6776 OR school's Principal Fonnein Lin at 240-463-7102 or email to cbcm-cs@cbcm.org. 若您有任何問題,請與夏令營聯絡人張靜老師,或林豐年校長聯絡。

5. LATE PICK UP FEE. Participants are not allowed to remain at church facility when program is over. Our staff’s time is as valuable to us as the time of our families. Campers also become concerned when not picked up on time. Therefore, late pick up fees are incurred once the program’s designated pick-up window ends at 4:15PM. Payment is due at the time of pick-up – no exceptions. Payments can be made by cash or check.
a. 4:16 – 4:30 $15.00
b. 4:31 – 4:45 $50.00
c. After 4:45 $75.00
請家長們注意:夏令營學生在節目結束後,不能留在教會裡。若您不能準時來接您的小孩,會造成很大的困擾。因此若您晚接的話,會有遲到的費用,對任何人都沒有例外。遲到的費用,如上表所列 。

Email address *
Child's Last Name *
Your answer
Child's First Name *
Your answer
Sex *
Required
Birthday (MM/DD/YYYY) *
Your answer
Grade in Fall 2019 *
Your answer
Address *
Your answer
City *
Your answer
State *
Your answer
Child's Primary Doctor *
Your answer
Doctor's Phone *
Your answer
Medical Problems (e.g. Allergies)
Your answer
Parent's e-mail *
Your answer
Parent/Guardian (1) Name *
Your answer
Daytime Phone *
Your answer
Parent/Guardian (2) Name
Your answer
Daytime Phone (2)
Your answer
Emergency Contact Person *
Your answer
Relationship
Your answer
Phone *
Your answer
Church Affiliation
If other church, please specify:
Your answer
Language used at home
If other language used at home, please specify
Your answer
Does your child attend the CBCM VBS in the morning? *
Payment Method *
SIGN/PRINT YOUR NAME BELOW (I hereby give my child permission to attend the Summer Enrichment Camp at the Chinese Bible Church of Maryland Chinese School, from June 17 – June 21, 2019. I understand that in the event of an accident, Chinese Bible Church of Maryland Chinese School will not be held responsible. *
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A copy of your responses will be emailed to the address you provided.
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