Integrated Chinese Level 1 Registration
This class is designed to help school aged students (1st grade and up) to learn and improve all Chinese language skills (listening, speaking, reading and writing).

Location: 1806 Zach Russell Dr., Cedar Park, TX 78613
Time: Tuesdays & Thursdays 3:20-4:50 pm

* You will have to complete a registration form for each student. If you have questions, please contact us at 512-900-1898 or CoolongChinese@gmail.com
* After submitting your form(s), you will receive an email with a summary of your enrollment information and payment instruction. Be sure to check the information, if there is any error, please contact us for corrections.
* All students will be accessed before enrollment.

* Class fee:  $192/month
* Book fee:  $35 新双双中文
* Sibling and referral discounts available.
* Lesson schedule:  3:20-4:00 Review and new lesson
                                    4:00-4:10 Break
                                    4:10-4:50 Practices/Stories/Rhymes/Songs/Crafts/Games
                                   
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Semesters *
Required
Student Info:
First Name *
Last Name *
Grade *
Gender *
Home Address *
School Attending *
Language(s) Spoken at Home *
Required
Enrolled Sibling(s)
Please list any existing allergies, medical conditions, medication and /or special attention your child may require:
Parent/Guardian Info:
Name *
Relation to student *
Phone *
Email *
How did you hear about our program? *
Required
Referred by (student's name)
Emergency Contacts Info:
Contact #1 Name *
Phone *
Relation to Student *
Contact #2 Name
Phone
Relation to Student
Coolong Chinese Media and Liability Release
I give Coolong Chinese the right to use photographs or videos of myself and/or the enrolled individual(s) in the production of web sites, film or sound track recordings, and any other forms of promotional/educational materials. I waive all rights to inspect or approve the final version of the photos or videos.

I release and discharge Coolong Chinese, its staff, officials and volunteers from any or all claims of injury or  damages from any accident or illness may be sustained by myself or the enrolled individual(s) while participating in activities at any location, whether caused by the negligence of Coolong Chinese or otherwise. If medical attention is required, I give my permission for such medical care. I agree to hold harmless and indemnify the above mentioned parties and/or representatives against any loss, damages, or cost of whatsoever nature including expenditure of attorneys’ fees which may be suffered as a result of any action, claim, or demand by my child or my child’s heirs, by me, my heirs, successors or assigns, or by any other person on his/her own behalf or for the benefit of the child.
Privacy Policy
Coolong Chinese will only collect and store personal information for communication and promotion. Collected information will not be used or shared with any third party.
Fees and Payment Guidelines
Class fee: $200/month includes all handouts and crafting materials
Sibling discounts: $10 off for each additional siblings after the first registered student
Referral discounts: For new students only, if referred by a registered student, both students will get a $10 reward applied to the next month.

We accept personal check and cash. Please make your check payable to "Coolong Chinese".

Monthly class fee is due on the 1st day of each month. A $35 charge will be assessed for returned checks. Coolong Chinese reserves the right to require payment by cash or certified funds.


Cancellation and Refund Policy
If you need to cancel your registration, please contact us at CoolongChinese@gmail.com. The following policies and timeline apply.

* 100% refund when written notification is received prior to one week before class begins.
* 50% refund when written notification is received within one week before class begins.
* Refunds are not issued if notice of cancellation is received after the class begins.
* Fees are not prorated for missed classes. Students with disruptive behavior may be removed from class with no refund.
* If a student has a condition or sustains an injury that results in the inability to participate in class, a doctor's statement, including the reason the child is unable to participate is required. A partial refund may be processed:
                        - Before 3rd class 50% refund
                        - No refunds after 3rd class.

By submitting the registration, I acknowledge that I have read and accepted the Coolong Chinese Media and Liability Release and Fees and Payment Guidelines. I acknowledge that I have read the Privacy and Refund Policy and fully understand its terms. I also acknowledge that I have the authorization to act on behalf of enrolled students. I understand that clicking SUBMIT below is the equivalent of my signature and demonstrates acceptance of the above terms in their entirety.
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