2023 Champion Extracurricular Activities Registration Form

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*Welcome to join any time in a year. We will prorate to you. Consultation: office@champion-education.com

Email *

Student Full Name *

Has this student signed up for the 2022-2023 After School annual contract program? *

Yes

No, but I am going to sign up for the 2022-2023 Champion After School Annual Contract later.

I want to sign-up these activities classes even though my student is not a current Champion After School student. (which is totally ok!)

Which activities classes you would like to choose? *

Creative Writing *online class - Grade 6-8 - Ms.Adalee - Thur @7:00-8:30 p.m. 1/12-6/1/2023 (no class on 4/6)

Creative Writing *onsite class - Grade 3-5 - Ms.Emma - Tue @4:30-6:30 p.m. 1/10/2023-5/30/2023 ( no class on 3/7, 4/4)

Required

All classes are subject to low enrollment cancellation. If the class is confirmed or canceled, we will notify you via E-mail as soon as we can. *

I acknowledge.

*Disclaimer: This activities class schedule follows 2022-2023 Wcpss School Traditional Calendar. You may need to drop off your child at champion to attend the onsite activities classes if your child is not picked up by champion on class days. There is no refund for absences due to any reasons, except for sick leave with a doctor note or AFTER-SCHOOL program withdrawal. Champion After School policy applies in this extracurricular activities program.

I acknowledge.

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Do you have any questions, comments, or concerns? *

Billing Information

If you already have attended Champion After School, we will send invoices to your pre-existed payment accounts (Intuit Quickbook). The following contact information is required to fill out.

We will send out invoice after your first try-out class. If you are not satisfied with the first try-out class, please cancel your class with us office@champion-education.com There will be no charge of the try-out session.

Parent's Name *

Parent's contact number *

Parent's email (receive important class information and billing info) *

Policy *

I acknowledge that there will be no make-up class, credit, or refund when your student is missing classes due to any reason.

I acknowledge all classes are subject to low enrollment cancellation.

A copy of your responses will be emailed to the address you provided.

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