CCA Extracurricular Class Registration
Please Register ONE student at a time. *** Each Student Needs to Use A Separate Form ***
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Student First Name *
Student Last Name *
Parent First Name *
Parent Last Name *
Parent Email *
Parent Phone Number *
EC Class
* Badminton students must bring their own racquet and a sleeve of shuttlecocks.
 *
Captionless Image
Required
Are you an existing CCA student? *
Payment
- 學生最低年齡為四歲 (幼幼班)或已完成如廁訓練
- 支票或現金於學校付款完成註冊
- 開課二星期之後, 學校不辦理退費

- Minimum Age of 4 or potty trained
- Cash or check payment at the school to complete the registration
- No class withdraw or tuition refund two weeks after school starts.
MEDIA RELEASE
COLUMBUS CHINESE ACADEMY OCCASIONALLY PHOTOGRAPHS OR VIDEOTAPES ACTIVITIES HELD AT SCHOOL AND AT SPECIAL EVENTS IN THE COMMUNITY FOR USE SOLELY IN CONNECTION WITH OFFICIAL COLUMBUS CHINESE ACADEMY PUBLICATIONS, PROMOTIONS, ITS WEB SITE, OR IN SOCIAL MEDIA. BY ATTENDING OUR SCHOOL, YOU ARE GIVING CONSENT FOR CCA TO RECORD AND USE YOUR CHILD'S IMAGE.
COLUMBUS CHINESE ACADEMY CONSENT FORM
I/WE AS LEGAL GUARDIAN(S) DO HEREBY AGREE TO INSTRUCT OUR CHILD(REN) TO ABIDE BY THE RULES CONTAINED IN THE CCA SCHOOL RULES ON PAGE 2, RELEASE AND DISCHARGE THE COLUMBUS CHINESE ACADEMY, ITS OFFICERS, MANAGERS, TEACHERS, THE SCHOOL IT RENTS FROM, FROM ANY AND ALL CLAIMS, LIABILITIES, DAMAGES, DEMANDS FOR ANY INJURIES TO PERSON OR PROPERTY SUSTAINED TO THE NAMED CHILD, AND RESULTING FROM THE ATTENDANCE OR PLAY IN THE AFOREMENTIONED SCHOOL, I/WE FULLY AGREE THAT THE SIGNATURE BELOW ON THIS FORM ATTEST TO THIS PHYSICAL RELEASE STATEMENT:
PARENT/GUARDIAN SIGNATURE
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Date
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