Mulan Chinese School - Summer Camp

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

木兰中文 CogAT, Lego, 机器人夏令营
Address: 13224 Franklin Farm Rd, Herndon, VA 20171

　　　　　　　　　Mulan　Chinese　Care

Student Full Name & Chinese Name *

E.g. James Zhang，张杰士

School *

Rising Grade (prek, K, 1-12) *

Primary Parent Last Name, First Name, M *

Home Address *

e.g: 1234 Lincoln Ave, Apt 2208, Fairfax, VA, 2203

Cell Phone *

e.g 703-xxx-xxxx

Home Phone *

e.g 571-xxx-xxxx

Email address *

e.g john.doe@gmail.com

Wechat ID

We use WeChat a lot for communication, besides email and phone calls.

Parent 2: Last Name, First M *

Cell Phone *

e.g. 703-xxx-xxxx

Email *

Wechat ID

Please select camp ($299/week, 5% off before 4/15 if registered and paid in full. One-time registration fee: $25.

Week 1: 6/15 - 6/19

Week 2: 6/22/ - 6/26

Week 3: 6/29 - 7/3

Week 4: 7/6 - 7/10

Week 5: 7/13 - 7/17

Week 6: 7/20 - 7/24

Week 7: 7/27 - 7/31

Week 8: 8/3 - 8/7

Week 9: 8/10 - 8/14

Week 10: 8/17 - 8/21

Payment

Please use following info to calculate the total and pay via Paypal to mulanlearning@gmail.com, or mail check payable to Mulan Chinese Care and send it to "3017 Dower House Dr, Herndon, VA 20171"

- registration fee: $25
- camp fee: $299/week, 5% off if paid in full by 4/15.
- lunch fee: $25/week
- Sibling discount: 5% off, on lesser of the two kids's charges.
- Mulan Students in Spring 2020 semester: 5% off

Cancellation policy

Registration can be cancelled with following policy in this order: a) if cancelled within 3 days before a new week's session, no refund on that week's camp fee; b) if cancelled within 10 days, 50% of next week's fee will be returned; c) if cancelled 11 or more days before a new week start, full camp fee is returned. Registration fee is not refundable.

By submitting this form, you agree with all terms and conditions set forth with Mulan Chinese Care including allowing Mulan Chinese School to use any of the photo pictures of the camp and kids for future promotional activities for purpose of Mulan Care. A particular week's camp might be cancelled if enrollment is less than 5 students.

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms