Intro to Chinese Registration
Thank you for your interest in our "Intro to Chinese" enrichment program. This class is thematically organized and designed for beginners. It will focus on speaking and conversation skills and cover different topics throughout the school year. For 2019 fall semester, two 6-week sessions will be offered. Students are encouraged to take both sessions to ensure continuous immersion. Students will start from basic Chinese words to phrases through fun activities like songs, games, puppet shows, arts and crafts.

Session 1 objectives:
Week 1: Greetings and making friends
Week 2: Numbers
Week 3: Family
Week 4: Colors
Week 5: Animals
Week 6: Careers

Session 2:
Week 1: Times
Week 2: Weathers
Week 3: Seasons
Week 4: Body parts
Week 5: Clothing
Week 6: Food

Location: 1806 Zach Russell Dr, Cedar Park, TX 78613
Time: Monday 4:45-5:45 pm
Friday 3:30-4:30 pm

* You will have to complete a registration form for each student. If you have questions, please contact us at 512-900-1898 or CoolongChinese@gmail.com
* After submitting your form(s), you will receive an email with a summary of your enrollment information and payment instruction. Be sure to check the information, if there is any error, please contact us for corrections.
* Program fee: $130/session
* Sibling and referral discounts available.
* Enrollment fewer than 2 students will be considered low enrollment.
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Student Info:
First Name *
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Last Name *
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Grade *
Gender *
Home Address *
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School Attending *
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Chinese Language Experience *
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Enrolled sibling(s)
Your answer
Please list any existing allergies, medical conditions, medication and /or special attention your child may require:
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Parent/Guardian Info:
Name *
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Relation to student *
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Phone *
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Email *
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How did you hear about our program? *
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Referred by (student's name)
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Emergency Contacts Info:
Contact #1 Name *
Your answer
Phone *
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Relation to Student *
Your answer
Contact #2 Name
Your answer
Phone
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Relation to Student
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Coolong Chinese Media and Liability Release
I give Coolong Chinese the right to use photographs or videos of myself and/or the enrolled individual(s) in the production of web sites, film or sound track recordings, and any other forms of promotional/educational materials. I waive all rights to inspect or approve the final version of the photos or videos.

I release and discharge Coolong Chinese, its staff, officials and volunteers from any or all claims of injury or damages from any accident or illness may be sustained by myself or the enrolled individual(s) while participating in activities at any location, whether caused by the negligence of Coolong Chinese or otherwise. If medical attention is required, I give my permission for such medical care. I agree to hold harmless and indemnify the above mentioned parties and/or representatives against any loss, damages, or cost of whatsoever nature including expenditure of attorneys’ fees which may be suffered as a result of any action, claim, or demand by my child or my child’s heirs, by me, my heirs, successors or assigns, or by any other person on his/her own behalf or for the benefit of the child.
Privacy Policy
Coolong Chinese will only collect and store personal information for communication and promotion. Collected information will not be used or shared with any third party.
Fees and Payment Guidelines
Program fee: $130/session
Sibling discount: $10 off per session for each additional siblings after the first registered student
Referral discount: For new students only, if referred by a registered student, both students will get a $10 reward applied to the current session.

We accept personal check and cash. Please make your check payable to "Coolong Chinese" and bring it to the first class of each session.

Payment is due on the first class of each session. Otherwise a late fee of $15 will be charged. A $35 charge will be assessed for returned checks. Coolong Chinese reserves the right to require payment by cash or certified funds.

Cancellation and Refund Policy
We understand that things come up and you may need to cancel your registration. To do so, please contact us at CoolongChinese@gmail.com. The following policies and timeline apply.

* 100% refund due to low enrollment cancellation.
* Refunds are not issued after the class begins.
* Fees are not prorated for missed classes. Students with disruptive behavior may be removed from class with no refund.
* If a student has a condition or sustains an injury that results in the inability to participate in class, a doctor's statement, including the reason the child is unable to participate is required. A partial refund may be processed:
- Before 2nd class 100% refund
- Before 4th class 50% refund
- No refunds after 4th class.
By submitting the registration, I acknowledge that I have read and accepted the Coolong Chinese Media and Liability Release and Fees and Payment Guidelines. I acknowledge that I have read the Privacy and Refund Policy and fully understand its terms. I also acknowledge that I have the authorization to act on behalf of enrolled students. I understand that clicking SUBMIT below is the equivalent of my signature and demonstrates acceptance of the above terms in their entirety.
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