Adult Class 2nd Semester - Enrollment 成人會話班報名表
2nd Semester: February 6, 2021 to May 22, 2021(13 weeks)
Tuition Fee: $200

□ Beginning Level:        9:00 – 10:20 A.M. or 2:00 – 3:20 P.M.  
□ Intermediate Level:   10:40 – 12:00 P.M.
                         
*After submitting, you will be receiving confirmation and payment instruction. Thank you!
**Please complete one for each student.


第二學期: 二月六日到五月二十二日(一共13週)
學費: $200

□ 初級:    9:00 – 10:20 A.M. or 2:00 – 3:20 P.M.  
□ 中級:   10:40 – 12:00 P.M.


*送出報名表後, 您將會收到確認及付款訊息, 謝謝您!
**每一份報名表格限填一位學生
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學生的英文姓名  Student's English Full Name *
學生的中文姓名  Student's Chinese Full Name
學生郵件信箱  Student's Email Address *
學生的聯絡電話  Student's Phone Number *
郵寄地址  Mailing Address *
報名的課程   Saturday Program *
本人同意並授權聖瑪利諾中文學校拍攝、修飾、使用、公開展示本人與法定代理人的肖像、影片與聲音。聖瑪利諾中文學校可使用授權肖像來展示及宣傳服務項目。並得用於設計、製作、印刷、傳播、網站與新聞等各項廣告宣傳資料或以各種方式來呈現授權肖像之全部或部分且可公開發表，及著作權法賦予著作人所擁有之權益。聖瑪利諾中文學校可無須再通知或經由本人與法定代理人同意，但於公開發表時必須尊重個人形象，不得發表於非正當管道。  I hereby give the Chinese School Of San Marino permission to use photographs/ video/ sound of the adult and the minor(s) named below for publicity, promotion, news releases, videos, advertisements and web use of the Chinese School Of San Marino. This might also apply to written compositions or visual art pieces of minors if they are published. I hereby release and discharge the Chinese School Of San Marino from any and all claims arising out of the use of the photography/ video/ sound that I or the minor(s) listed may have in this regard. *
1. Zoom為成人班線上課程老師所使用的同步教學平台，請您先在自己的設備上安裝完畢。如果您需要安裝指南請聯繫辦公室。   2. 任何一個課程五人為最低開班要求，請配合及理解報名以後不接受任何退款。   3. 請遵守實體教室的課堂規則，勿走動，勿飲食。   4. 為了確認學習情形，請同意打開攝影機提高參與課程的效果。   5. 請尊重隱私，勿錄影。   6. 開課之前會分別安排來辦公室領取課本。   1. Our teachers are using Zoom, this software for online course during this semester. Please install it before the class starts. If you need the instruction please contact the office.   2. Five students minimum for each class. Please understand there is no any refund for this Adult Class after enrolling.      3. Please follow the physical classroom rule, no walking and no eating.   4. Please consent to turn on the camera during the class to join the teacher together for effective learning.   5. Please respect the privacy, no recording.   6. We will arrange a safe schedule for picking up textbook before the class starts. *
Required
緊急聯絡人姓名及電話   Emergency Contact /Phone No. *
Electronic Signature/Date 電子簽名/日期 * *
以下的電子簽名及日期聖瑪利諾中文學校視為等同手寫簽名的效力，我確認所有提供的訊息都是正確無誤的。 The electronic signature below and its related fields are treated by Chinese School of San Marino like a handwritten signature on the paper form. I affirm that all the information provided is true and correct to the best of my knowledge.
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