2020-2021 CAoC Registration Form 克里夫蘭中文書院學生註冊單
Please submit ONE form for EACH student. Thank you! 請一位學生填寫一份註冊單。謝謝您的合作!

Please complete this form by Sep. 8th, 2020 and note that all fees are due by the first day of the school, Sep. 12th, 2020. 請於9月8日前完成報名並於開學日9月12前完成繳費
Email address *
Student Information (Required) 學生基本資料
First Name 英文名字 *
Last Name 英文姓氏 *
Chinese Name 中文姓名
Date of Birth 生日 *
MM
/
DD
/
YYYY
Gender 性別 *
Language Classes 班級: *
2020-2021 Annual Tuition and Fees 學費與其他費用
Tuition: $380 for children, $410 for adults
Registration fee: $30
Textbooks and miscellaneous fees: $30 for children only

孩童學費: $380; 成人班學費: $410
註冊費: $30
教科書與雜費 (僅限孩童): $30

In summary:
$440 for one student from one family
$880 for two students from one family
$1,290 for three students total ($30 discount for the third student) from one family
$1,700 for four students total ($30 discount for each of the third and fourth student) from one family

總計
一戶一名學生 總額$440
一戶兩名學生 總額$880
一戶三名學生 總額$1,290 (第三名學生免除註冊費$30)
一戶四名學生 總額$1,700 (第三名與第四名學生各免除註冊費$30)

Please note that if your check is bounced by the bank for any reason, whatever amount that your bank charges the school will be added to your total fees.

請注意, 如果您的支票遭到銀行退票, 您需要支付相關退票罰金.
Remit by sending a check via mail 經由郵寄支票付款

1. Please make the check* payable to "CAoC". 支票受款人請填寫 "CAoC"

2. Please write all the students' names on the Memo section. 請將學生姓名填寫在支票備註欄

3. Please mail it to: 請將支票郵寄至以下收件人與地址

KC Liao
93 Garnett Circle
Copley, OH 44321

*Please make sure sufficient funds are in your check-writing account. For a bounced check, any bank fee or penalty that is charged to CAoC will be the check writer's responsibility.

*請注意, 如果您的支票遭到銀行退票, 您需要支付相關退票罰金.
Remit by Venmo (mobile app) 經由Venmo 行動支付
* NO Credit Card. Please use a checking account linked Venmo payment method. 學校不收信用卡, 請使用銀行帳戶連結的Venmo付款方式繳交費用

* If you choose to use credit card, you will be responsible for an additional 3.5% service charge. For example, $440 x 1.035 = $455.40 for one student. 如果您選擇使用信用卡, 您需要額外負擔3.5%手續費.

1. Please search @KC-Liao in your Venmo account 請在您的PayPal帳戶搜尋 @KC-Liao

2. Or scan the QR code using your PayPal app 或使用PayPal掃描二維碼

3. And send the amount to this account 輸入金額並轉入學校的帳戶

4. Please leave student(s)'s full name and parent's cell phone number in the note 請註記學生的全名與家長的手機號碼

5. A confirmation text will be sent back to your cell once your payment has been confirmed (please allow 24 hours to process) 待交易確認後, 您將於24小時內收到校長的確認訊息
Venmo QR Code
Remit by PayPal (mobile app or website) 經由PayPal 線上支付
* NO Credit Card. Please use a checking account linked PayPal payment method and select "Family and Friends". 學校不收信用卡, 請使用銀行帳戶連結的PayPal付款方式並選擇"Family and Friends"繳交費用.

* If you choose to use credit card and/or select "Pay for Service" instead of "Family and Friends", you are responsible for an additional 3.5% service charge. For example, $440 x 1.035 = $455.40 for one student. 如果您選擇使用信用卡或是選擇"Pay for Service", 您需要額外負擔3.5%手續費.

1. Please search @caocleveland in your PayPal account 請在您的PayPal帳戶搜尋 @caocleveland

2. Or search caoc.principal@gmail.com in your PayPal account 或在您的PayPal帳戶搜尋 caoc.principal@gmail.com

3. Or scan the QR code using your PayPal app 或使用PayPal掃描二維碼

4. And send the amount to this account 輸入金額並轉入學校的帳戶

5. Please leave student(s)'s full name and parent's cell phone number in the note 請註記學生的全名與家長的手機號碼

6. A confirmation text will be sent back to your cell once your payment has been confirmed (please allow 24 hours to process) 待交易確認後, 您將於24小時內收到校長的確認訊息
PayPal QR Code
Primary Parent/ Guardian Information (Required) 家長或監護人基本資料
Please Select 請選擇 *
First Name 英文名字 *
Last Name 英文姓氏 *
Chinese Name 中文姓名
Phone 1 聯絡電話 1 *
Phone 2 聯絡電話 2
Email 電子郵件信箱 *
Address 1 住址 1 *
Address 2 住址 2
City 城市 *
State 州名 *
ZIP Code 郵遞區號 *
Occupation 家長或監護人職業
Second Parent/Guardian Information (Optional) 第二家長或監護人基本資料
Please Select 請選擇
Clear selection
First Name 英文名字
Last Name 英文姓氏
Chinese Name 中文姓名
Phone 1 聯絡電話 1
Phone 2 聯絡電話 2
Email 電子郵件信箱
Address 1 住址 1
Address 2 住址 2
City 城市
State 州名
ZIP Code 郵遞區號
Occupation 家長或監護人職業
In the event we can not get a hold of the parents or guardians, please provide emergency contact person number (Required): 請提供緊急聯絡人資料,以方便我們在聯絡不到家長或監護人時可以聯絡。
Emergency Contact 緊急聯絡人 *
Phone 電話 *
Special Note. If your child has any allergy or other special medical situation, please inform us as soon as possible. 小孩有任何需要注意的健康狀況嗎? 如過敏等...
Health Concerns 需要注意的健康狀況
2020-2021 Chinese Academy of Cleveland Waiver Statements 2020-2021 克里夫蘭中文書院家長同意書
We/I hereby release, discharge and agree to hold harmless Chinese Academy of Cleveland, its board members and staff, as well as Shaker Heights School and its staff and all persons acting under the permission or authority, from a liability whatsoever for any and all claims of any nature which may raise out of our/my attendance at the Chinese Academy of Cleveland, and/or purchase and / or consumption of food and / or snacks offered through the Chinese Academy of Cleveland during snack time, special luncheon, and special events sponsored by the Chinese Academy of Cleveland such as Chinese New Year celebration, outdoor picnic, and end-of-year luncheon. This release covers us/me and any minor members of our/my family. *
We/I hereby also agree on behalf of ourselves / myself and any minor members of our / my family to allow the staffs and board members of the Chinese Academy of Cleveland to release electronic or paper photographs of us / me and any minor members of our/ my family on published materials including newspaper articles, internet websites, and video / radio productions associated with the reporting and promotion of activities associated with the missions, actions, and activities of the Chinese Academy of Cleveland. *
Furthermore, in case of emergency and my designated emergency contact cannot be reached, permission is granted to have my child treated by doctor or hospital appointed by the Chinese Academy of Cleveland or its authorized personnel. *
Withdraw and Refund Policies: 休學及退費須知:
1. Classes are subject to cancellation due to low enrollment. 如果學生人數不足,課堂可能會被取消。
2. Preschool, Pre-K and Kindergarten students’ parents need to be available during class time in order to help your own child when the needs arise. 家中若有五歲以下小朋友就讀, 上課期間請盡量能夠保持聯絡以便協助您的孩子學習
3. Refund Policies can be found at the end of the Registration information on our website. 退費細則請詳見學校網頁的註冊欄位
Please confirm you agree to abide by our school’s refund policies stated in the Registration Information. *
A copy of your responses will be emailed to the address you provided.
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