2024-2025 Castro Valley Kid A Registration Form 报名表
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Email *
What is your name (您的名字) *
Your phone number? (您的电话号码)
What is your kid(s)' name (您孩子的名字) *
Daytime school and grade 您孩子就读的学校名称和年级
Which  grade level after school program are you looking for? (您想报的课后班) *
Required
学生的中文水平( Student's Mandarin level):  
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Does your child need pick up services?
 您的孩子需要接送服务吗?
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您的孩子是否有食物过敏、药物过敏、哮喘或其他特别状况。

Please list all important medications and special conditions (Allergies, Asthma, etc)

Kid A Workshop 学生家长义务和责任协议

Parent Liability and Responsibility Agreement

1. I will assume full responsibility for the safety of my child(ren) while participating in Kid A Workshop.

2. I will not hold the Kid A Workshop liable for any personal injury or property damage, which may occur on the premise of the school.

3. I will assume full responsibility for any damage caused by my child(ren) to the facility used by Kid A Workshop.

4. Paying period is every month or one semester. Tuition is non-refundable (Exceptions for special circumstances may request in person).

5. Registration fee are non-refundable.

肖像权使用授权书  Permission to Use Photograph 

I hereby grant the permission to Kid A Workshop, to take and use: Photographs and/or digital images of my child for use in news releases and/or educational materials as follows: Printed publication or materials, electronic publication, or Web sites. I agree that my child's name and identity: may be revealed in descriptive text or commentary in connection with the image(s). I authorize the use of these images without compensation to me. All negatives, prints, digital reproductions and shall be the property of Kid A Workshop.
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Paying Method ( 付款方式) *
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