雷丁中文学校 11 plus 报名表

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雷丁中文学校 11 plus 报名表

Reading Chinese School Student Application form for 11+ Class

Section 1) Student Information 学生资料

1.6 Gender 性别 *

男 M

女 F

1.5 Date of Birth 出生日期 *

YYYY

1.3 English First Name 英文名字 *

现有学生，请填写目前所在班级和老师名字 For existing student, please tell which class the student is currently in:

1.4 Nick Name 别名（also known as)

1.2 English Family Name 英文姓氏 *

1.1 中文姓名 Chinese Name （type in Chinese in order of Surname Given Name) *

Section 2) 家长/监护人资料 PARENT / GUARDIAN DETAILS

Put 'NA' in below fields if you are registering as adult student (over 18 years )

2.2 家长/监护人-1: 联系电话 Phone Number *

2.1 家长/监护人-1:电邮地址 Email Address *

Class and Fees *

For Year 5 students 10:00 - 12:00 per session: £16

For Year 4 students 12:00 - 13:00 per session £11

学费支付方式 School Fee Payment Method

1. 支票交给班主任：支票抬头请写 Cheque Payment : please make cheque payable to
Reading Chinese School
请在支票后面备注：11+ Year 4 or Year 5（students name 学生名+姓氏）
Please remark at the back of the cheque with: student Name + Surname

2. 现金交给班主任

The School may occasionally take photos of students for publicity purposes or upload onto social media sites such as our website,Wechat, WhatsApp, Facebook or Youtube. If you do not want images of your child appear in our publicity materials, please make sure you inform the School separately in written format. 学校有时会在课堂或者活动过程中拍照，然后分享到学校网站，或者社交平台例如微信，whatsapp, Facebook， Youtube 等如果您不希望您的孩子照片被分享，请务必书面通知学校。 *

I give consent to Reading Chinese School for taking or use photos of my child for above mentioned purpose. 我同意雷丁中文学校作为学校宣传目的，使用我的孩子的照片。

I do not want to give consent to Reading Chinese School for taking or use photos of my child for above mentioned purpose. If this was chosen, please contact school in written format. 我不同意雷丁中文学校作为学校宣传目的，使用我的孩子的照片。如选此项，敬请书面联系校方。Email: ReadingChineseSchool@hotmail.com

Both parents can access student information being hold in RCS for example the school reports and school photo album. If disagreed, please contact school in written format for further explanation. 父母亲双方享受同等的权利可以查看学生在RCS学校的信息，例如学生报告，学校相册。如有异议，敬请书面联系校方并解释特殊情况。 *

同意 Agreed

不同意 Disagree 如选此项，敬请书面联系校方。Email: ReadingChineseSchool@hotmail.com If this was chosen, please contact school in written format.

点击以下‘提交’表格，代表本人确认以上所填写资料属实无误 By clicking submit, I confirm all given information by me are correct.

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