Blacksburg Chinese School 2019-2020 Children Program Registration

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All the programs will be starting in August unless otherwise indicated.
BCS Membership Fee (once a year): $30/single; $40/family
*Members pay 80% tuition fee for all BCS language and culture classes.
Language Class Tuition Rate: $10/hour (for member only); $12.5/hour (non-member)
Miscellaneous fee: $ 10/semester for each student to cover school supply
Every class needs to have at least two students, otherwise, the class will be canceled without further notice.
Feel free to contact info@blacksburgchineseschool.org if you have any questions regarding registration! Thanks!

Name *

Age *

Gender *

Male

Female

Current School *

Mother/Guardian 1 Name *

Mother/Guardian 1 Phone Number *

Father/Guardian 2 Name *

Father/Guardian 2 Phone Number *

Contact Email Address 1 *

Contact Email Address 2 *

Emergency Contact Name *

Emergency Contact Phone Number *

Relationship *

Does your child have any allergies? If yes, please explain. *

Has your child taken any Chinese class before? *

Yes

If yes, tell us about what level your child has finished. *

Is any of your child a BCS student? *

Yes

If yes, please tell the name(s) of kid(s) ? *

Language Program that your child wants to participate *

H1-Heritage Level 1 母语一级班 (90 mins/Sunday afternoon, 15 lessons/semester) (For 5+)

H2-Heritage Level 2 母语二级班 (90 mins/Sunday afternoon, 15 lessons/semester)

H3-Heritage Level 3 母语三级班 (90 mins/Sunday afternoon, 15 lessons/semester)

H4-Heritage Level 4 母语四级班 (90 mins/Sunday afternoon, 15 lessons/semester)

H5-Heritage Level 5 母语五级班 (90 mins/Sunday afternoon, 15 lessons/semester)

H6-Heritage Level 6 母语六级班 (90 mins/Sunday afternoon, 15 lessons/semester)

H7-Heritage Level 7 母语七级班 (90 mins/Sunday afternoon, 15 lessons/semester)

Non-Heritage Chinese (90 mins/Saturday) (For 5+, the course will start after Labor Day, 9/2)

Non-Heritage Chinese after-school @ Kipps Elementary (the course will start after Labor Day, 9/2)

Non-Heritage Chinese after-school @ CRC Rainbow Rider (the course will start after Labor Day, 9/2)

Cultural Program that your child is interested in participating: (We will contact you for further information.)

Traditional Chinese Dance - Children Dance Group (girls 8-12 years old)

Chinese Yo Yo Group

Chinese Lion dance group

Traditional Chinese Dance - Children Dance Group (boys and girls 5-10 years old)

Wushu Class

Blacksburg Chinese School Parent/Guardian's Release Form * * *

I give my permission for my child/ myself to participate in the Blacksburg Chinese School programs. I will not hold the Blacksburg Chinese School, facility providers, volunteers, or paid and unpaid staff members liable in case of accidents or injuries, that may occur in any kind of activities administered or sponsored by Blacksburg Chinese School for either students or parents on school site or off school site.

I acknowledge and agree that Blacksburg Chinese School has the right to cancel any class with less than three students enrolled, and therefore refund the full tuition without charge of any processing/administrative fee.

I understand that photographs or videos of me or my child may be taken during said program, that my or my child's likeness may appear in media coverage and publicity regarding said program, for which no compensation in any form will be made by BCS, and I give my consent to these conditions.

Required

Parent/Guardian's Signature *

Submit

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