CSSM 2024 Summer School Enrollment
聖瑪利諾中文學校  2024暑期班報名表
辦公室地址 (O): 2425 Huntington Drive, San Marino, CA 91108
聯絡電話 (Tel)  : (626) 796-5190
電郵 Email :  cssm.info@ccsm.org

暑期班課程 Summer School Program

 一.   授課教室 Classroom Location
         地點:Carver Elementary School
         地址:3100 Huntington Dr, San Marino, CA 91108

 二.   日期 School Schedule

         1.  06/03/2024 - 07/26/2024, 8 weeks 
         2.  放假日期 : No school on 6/19/24 (Wed, Juneteenth), 7/4/24 (Thu), 7/5/24 (Fri)
         3.  上課時間:
               -  上學 Drop-off time:           08:30 am - 09:00 am
               -  上午班 Morning Class:     09:00 am - 12:00 pm
               -  午餐時間 Lunch Break:     12:00 pm - 01:15 pm
               -  下午班 Afternoon Class:  01:15 pm - 05:00 pm
               -   放學 Pick-up Time:           05:00 pm - 05:45 pm

  課程計畫  Curriculum Design

        1.  上午中文 Morning Chinese Classes
             1)  課本 Textbook : 生活華語教材系列
             2)教學方法 Teaching methods:  
                   採取主題式教學方式,注重學生聽與說的能力 
Adopt thematic teaching methods and focus on students' listening and speaking
abilities.
              3)  班級 Class levels :
                   -   幼級班  Beginner
                   -   初級班  Basic
                   -   中級班  Intermediate
                   -   高級班  Advance
     
       2.  下午才藝班 Afternoon Enrichment Classes
             1)  才藝班別 Class levels :
                   -  初學班   Junior
                   -  進階班   Senior 
             2)  才藝內容 Class Contents :
                   -  美術      Art & Craft
                   -  書法      Calligraphy
                   -  西洋棋  Chess
                   -  黏土       Clay
                   -  街舞       Hip-hop
                   -  功夫       Kung-fu
                   -  音樂       Music 
                   -  中國結   Knotting
                   -  桌球       Table tennis
 
.  報名選項 Registration Options

        1.  全天班包括 Full-day class includes both
               - 上午中文班 Morning Chinese Class 
               - 下午才藝班 Afternoon Enrichment Class
        2.  半天班可選擇 Half-day class options are
                - 上午中文班 Morning Chinese Class
                - 下午才藝班 Afternoon Enrichment Class
        3.  全天/半天, 或中文/才藝班的報名選課以週為單位 
              Full-day/Half-day or Chinese/Enrichment class selections are in weekly basis.
        4.  無論選擇中文班或才藝班, 均由學校排課, 無須個別選課 
              Both Chinese and all sorts of Enrichment class schedules are arranged by school.  No 
              specific class selection necessary.   
        5.   每位學生填一份報名表
               Each student fills in one registration form individually.
        6.   新生可於報名後聯絡辦公室能力分班評量
               Please contact CSSM office for placement evaluation if you are unsure which 
               class level to enroll
        7.   如需轉班, 請於開學一週內提出 
              Class transfer requests shall be made within a week after school starts.

.  學費 Tuition

        1.  收費標準 Tuition Fee
               -  報名費 Registration Fee (無退費 no refund):   $50
               -  學費以週費 Tuition is charged per week :  
                   1)上午中文班 Morning Chinese Class :         $250
                   2)下午才藝班 Afternoon Enrichment Class: $250
               -  學費總數依上課星期數累計. 
                   Payment is summed up by number of attending weeks.
               -  報名即贈送兩件制服, Registration fee includes 2 free T-shirt uniforms
               -  每個家庭只須繳1次報名費.  多於一位以上小孩來上課的家庭免繳.
                  Registration fee is charged per family.   No charge on the second child and up.  
               -  中文班教科書免費; 才藝班材料費包括在內.
                  Chinese textbooks are free.  Enrichment class material fee has been included.  
               -  即早報名學生 (4/7/24 前), 及全時學生(8個星期全天班)各享有九折優惠
                  Early-bird (by 4/7/24) registration or full-time (i.e. 8-week full-day) students 
                  enjoy 10% discount each.      
               -  前六週學校供應午餐, 後兩週請自備午餐 
                   Lunch is provided the first 6 weeks (6/3/24 - 7/12/24).  
                   Bring your own lunch for the last 2 weeks (7/15/24 - 7/26/24).  
        2.  費方式 Payment Method 
                -  暑期班為一次性收費.  若有特殊狀況, 請與辦公室聯絡.
                   Summer school is paid in one-time fee.  Please contact the office in case of 
                   special circumstances.
                -  收費支付包括支票, 現金, 及Venmo
                   Payment methods include check, cash, or Venmo credit card.
                -  支票可郵寄或親至中文學校辦公室繳交, 請註明學生中英文姓名 
                    Sent or bring checks to CSSM office noting with student Chinese and English 
                    names.
                -  聖瑪利諾中文學校 Venmo 帳號 @cssmbanking 
                   CSSM Venmo account number @cssmbanking    
         3.  繳費通知將於報名後寄出 
               Registration confirmation and payment instructions will be notified through 
               e-mail after form is submitted.
         4.  開學兩週內, 如急需退班 (6/14/24 前), 則依已上課時長計算退費. 
               Refund may be made within 2 weeks (by 6/14/24) after school starts if 
               dropping-out is necessary.  Refund fee is calculated based on weeks attended.

六.  備註

       1.  肖像使用同意書 Image right Release Agreement 

           以下為聖瑪利諾中文學校學生肖像使用同意書.  請在報名問卷中點選"同意"; 如有
           學生安全疑慮, 則“不同意”. 
           San Marino Chinese School student image right release agreement is specified 
           as follows.  Please select "Agree" in the registration form.  Select "Not agree" if
           you have any student safety concern.

          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 photographs/
           video/sound that I or the minor(s) listed may have in this regard.

      2.  校規 School Regulations

          以下為聖瑪利諾中文學校校規. 請在報名問卷中同意並保證您的子弟於學校期間遵守
          校規如有違規,願負一切法律責任。
          San Marino Chinese School regulations are specified as follows.  Please select 
          "Agree" to ensure your child(ren) abide by the rules. If any violations occur, parents 
          shall bear all legal responsibilities.  

         學生就讀於聖瑪利諾中文學校期間, 由全體老師負起督導及教育之責, 但希望父母能督促
         並提醒學生遵守以下事項:
         1) 養成學生按時上課的習慣,聽到哨鈴聲立刻回教室上課,鼓勵孩子爭取全勤。
         2) 學生因事不能到校,請事先向班導師或辦公室請假。
         3) 不可在教室吃喝東西,不要與同學分食零食,避免誤食過敏食品。
         4) 不可破壞公物或亂動教室東西。
         5) 任何時間學生均不可單獨停留在教室。
         6) 禁止在走廊奔跑; 或與同學在校園內推打、扭拉、衝撞。
         7) 請勿攜帶貴重物品,如遊戲機、手機、現金及電子產品,一旦遺失學校不負任何
              損失賠償責任。
         8) 手機在上課時間務必關機。
         9) 學生因事需提早離開校園,請家長先到辦公室辦理早退簽到並領取通行證,才可進入
              教室接您的孩子離開校園,謝謝配合。
       10) 學生在校期間如有任何不適,請立即告知其任課老師及辦公室,以便在第一時間做出
              緊急處理。
       11) 學生在校活動期間必須遵守學校所有規定,若因不遵守規則而發生意外,家長必須
              自行負責。
       
        Given the students attend and participate San Marino Chinese School (CSSM) 
        programs, CSSM instructors are responsible for their education and all school 
        activities.  We do hope parents and guardians remind the students of 
        the followings:
        1) Encourage your children to be punctual and in attendance every school day.
            Students with perfect attendance will be recognized at the end of the program.
        2)  If your children will be absent, please contact their instructor(s) or School Office 
             in advance.
        3) No eating or drinking in the classroom.  Do not share snacks with classmates to 
             avoid accidental allergy incident.    
        4) Do not damage school property or move any equipment in the classroom.
        5) Students need to proceed to their assigned classrooms under adequate adult 
             supervision.  
        6) It is prohibited running in the hallway; and no fighting, pushing, scuffling, or 
             colliding with schoolmates on campus.  
        7) Please do not bring expensive items, such as gaming systems, cash and any 
             technical equipment. School will not be responsible for loss or damage to 
             the property. 
        8)  Please turn off the cell phone during the class. 
        9)  If your children will be leaving early, please sign the early dismissal at the office 
              (HMS campus) and get the pass first before entering the classroom to pick up 
              your kids. 
       10)  If students are feeling unwell, please have them immediately inform their 
               instructors and/or office staff, so that instructors can take necessary precautions. 
       11)  Students are to follow school rules and regulations. Should any injury occur 
               because students violate conduct, parents/guardians are to bear responsibility.
   
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Email *
學生中文姓名 Student Name (Chinese)
學生英文姓名 Student Name (English)
*
生日 Birthday
*
MM
/
DD
/
YYYY
現讀中文學校及課本 Current attending Chinese School & Textbook, eg. CSSM C3, 美洲華語一冊, other Chinese school & textbook *
現就讀學校&年級 Current School & Grade 
e.g. Carver 3rd Grade
*
新生願意來辦公室做能力分班評量嗎?Would new comer students like to come to the office for a placement evaluation? Skip if you are a returning student.
Clear selection
住家地址 Mailing address:  Street name & Apt/Suite/etc. *
住家地址 Mailing address : City & State & Zip Code
*
是家中今年第一位報名 CSSM 2024年暑期班的學生嗎? Is the student the first or the only child attending the 2024 CSSM summer camp? *
Week1- 06/03/2024 - 06/07/2024 選課 Class selection  *
Week2- 06/10/2024 - 06/14/2024 選課 Class selection 
*
Week3- 06/17/2024 - 06/21/2024 選課 Class selection  
*
Week4- 06/24/2024 - 06/28/2024 選課 Class selection 
*
Week5- 07/01/2024 - 07/03/2024 選課 Class selection  
*
Week6- 07/08/2024 - 07/12/2024 選課 Class selection   
*
Week7- 07/15/2024 - 07/19/2024 選課 Class selection 
*
Week8- 07/22/2024 - 07/26/2024 選課 Class selection 
*
首位緊急聯絡人: 父親/母親/監護人/其他
1st Contact Person: Father/Mother/Guardian/Others
*
首位緊急聯絡人姓名 1st Contact's Name
*
首位緊急聯絡人電話 1st Contact's Phone number
*
首位緊急聯絡人 1st Contact's Email
*
第二位緊急聯絡人: 父親/母親/監護人/其他
2nd Contact Person: Father/Mother/Guardian/Others
*
第二位緊急聯絡人姓名 2nd Contact's Name
*
第二位緊急聯絡人電話 2nd Contact's Phone number
*
第二位緊急聯絡人 2nd Contact's Email
*
學生保險及號碼 Insurance Carrier/Policy No.
*
家庭醫師及聯絡電話 Family Doctor/Phone No.
*
過敏 (列出過敏食物/藥物) Allergies (list allergic food/medication)
*
學生T恤號碼 Youth T-shirt size *
我已閱讀並同意學生肖像使用.  I have read and accepted the student image right release agreement.
*
我已閱讀並同意上述課程安排及條款要求.  I have read and accepted the class design & terms listed above.
*
我已閱讀並保證學生於學校期間遵守校規, 如有違反, 願負一切法律責任. I have read the school regulations above and will have my child(ren) abide by the rules. If any violations occur, I will bear all legal responsibilities.
*
電子簽名/日期 Electronic Signature/Date
*
意見 Comments
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