2023-2024 After School Program Registration

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活动时间 Time：Mon. to Fri. 3-6 PM, Sept. to next June
活动地址 Location：3058 Jockvale Rd., Nepean
联系信息 Contact Info：爱华老师aihuahutong@gmail.com，瑞雪老师rachel442999019@gmail.com

学校网站 Website：https://www.youngchinese.com/aihua/index.html

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Adresse e-mail *

孩子姓名 Kid's Name *

出生年月日 Date of Birth *

YYYY

年龄 Age
*

性别 Gender
*

男 Male

女 Female

父母/监护人姓名及电话 Name of Parent(s)/Guardian(s) and Contact Number(s)
*

紧急情况联系人及电话 Emergency Contact
*

有无过敏 Allergies *

无 None

麸质食品 Gluten

坚果 Nuts

Autre :

Obligatoire

所报天数 Signing Up Days *

时间Time： 3-6 PM, Sept. 2023 to June 2024

价格Price：$30/day (4-5 days per week); $32/day (3 days or less per week)

请注意Note：One month notice to end the program

周一 Monday

周二 Tuesday

周三 Wednesday

周四 Thursday

周五 Friday

Obligatoire

免责声明 Participant Parental Consent Form

Please check (√) the appropriate boxes:

I acknowledge that there are risks associated with participation in any physical training, exercise, sports, adventure or activity program. I have informed myself and my child and we understand the risks associated with my child’s participation in the program and (where applicable) their use of the facilities, including the risk of personal injury, and freely accept these risks.

I am also aware that it is the school's policy to notify a parent/guardian when a child is ill or needs medical attention. Occasionally the school cannot contact parents and the school needs to get immediate help for the child.

I acknowledge this and by signing the form I confirm that program staff can take appropriate action on behalf of my child. We will take this signed consent to the emergency care.

Obligatoire

Permission to Photograph and/or Video Consent Form

Please check (√) the appropriate boxes:

I give permission for staff to include and/or display photographs and/or videoes of my child/myself in any future promotional materials.

I do NOT give permission to take photographs and/or videoes of my child/myself.

Obligatoire

家长/监护人签名 Signing parent(s)/guardian(s) on behalf of the participant:
*

*By typing my name below, I confirm that I am the legal parent/guardian of (to be specified) and sign this form on his/her behalf.

签署日期 Signing Date
*

YYYY

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