2017-2018 DCS_RegistrationForm
注册学年 (Register Year ) *
请选择校区 (Select Campus)
是否新生 (New Students) *
Required
中文注册课程/班级 ( Choose Chinese Class)
文化课名称 ( Cultural Class)
学生性别(Gender)
学生中文姓名(Student Chinese Name)
Your answer
学生英文名(Student English Name)
Your answer
是否允许给孩子照相 (Allow to take photo of your children)? *
Required
家长电子邮件地址(Parent email address)
Your answer
学生电子邮件地址(Student email address)
Your answer
家庭住址 (Home Address)
Your answer
城市(City)
Your answer
州(State)
Your answer
邮编(Zip code)
Your answer
父亲中文姓名 (Father's Name)
Your answer
父亲英文姓名(Father's English Name)
Your answer
父亲职业 (Father's Occupation)
Your answer
父亲电话 (Father's Phone Number)
Your answer
父亲电子邮件 (Father's Email)
Your answer
母亲中文姓名 (Mother's Name)
Your answer
母亲英文姓名 (Mother's English Name)
Your answer
母亲职业 (Mother's Occupation)
Your answer
母亲电话 (Mother's Phone Number)
Your answer
母亲电子邮件 (Mother's Email)
Your answer
(新学生)你从哪里听说我们的?(New Student) Where did you hear from us?
退款办法 (Refund Policy)
Disclaimer
I, the undersigned, hereby understand and agree that I will not hold Denver Chinese School, its officials, officers, teachers and volunteers liable for any bodily injury and property damage I and my child/children may sustain by associating with and/or taking part in any of the activities sponsored by Denver Chinese School. I grant Denver Chinese School the authority to send my child to hospitals under emergency medical situations and I will pay all fees and costs. I further agree that I will be fully responsible for any property damages to the school facility caused by my child or myself. 本人同意,在丹城中文学校期间的任何财产损失,本人及上述学生的身体伤害均由本人负责。本人将不追究丹城中文学校、及其理事、工作人员、老师、和义工的责任。本人同意,上述学生在校发生意外,学校有权根据具体情况予以处理或送往医院,一切费用和责任由本人承担。本人同意,如果上述学生在校损坏东西,一切由本人负责赔偿。
Your answer
学生/家长/监护人签名 (Student/Parent or Guardian's Signature)
Your answer
日期 (Date)
MM
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DD
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YYYY
付款方式选择 *
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