Mandarin Chinese Summer Camp - Rocklin Unified School District

Mandarin Chinese Summer Camp
汉语夏令营
Join us this summer for Mandarin Chinese
Summer Camp and let your child get
started on learning a new language and
exploring the Chinese culture!
Registration for Mandarin Summer Camp
is NOW available at the school or you can
download a copy at
http://istaredu.org/registration.html.
Weeks
Theme (主题)
Pricing
Jun 08-12
Make Chinese food
Jun 15-19
Travel to China Capital – Beijing (北京之旅)
Jun 22-26
Chinese Fairy Tales(中国神话故事)
Jul 6-10
Chinese Calligraphy (中国书法班)
(吃在中国)
$199 per week
$119 3 days (M/W/F)
$79 2 days (T/TH)
Location:Merryhill Private School
1115 Orlando Avenue, Roseville CA 95661
Days/Hours: Monday thru Friday 9:00 am – 2:00 pm
For more information about the Mandarin Chinese Summer Camp, please
contact us at 916-792-5802 or [email protected] or visit our website at
www.istaredu.org
Details please see the registration form attached
iStar Chinese School
Website: www.iStaredu.org
Email: [email protected] Phone: 916.792.5802
ISTAR MANDARIN SUMMER CAMP 爱星中文学校
REGISTRATION FORM 注册表
Mandarin Chinese is the most widely-spoken language in the world. Learning Chinese means connecting millions
of people in or outside the U.S. Letting each student to have every opportunity to achieve a future success
is our most priority goal.
experiences.
Sign up our summer camp today to learn Chinese through a variety of fun hands on
A. STUDENT INFORMATION 学生资料 (Please use a separate form for each individual student)
Name in English
Name in Chinese if any
Date of Birth
Gender
School
学生姓名
中文姓名
出生日期
性别
学校
Father’s Name 父亲姓名:
Home Phone 联系电话:
Cell Phone 手机号码:
Home Address 家庭住址:
Mother’s Name 母亲姓名:
Parent Email:
Student Email if any:
______________________________________________________________________________________
No.
Street
City
State
Zip Code
B. TUITION AND FEES 学费
1.
$179/w: Tuition 学费 ( Monday thru Friday 9:00 a.m. to 2:00 p.m.,
Merry hill Private School)
2.
$20:
at
Registration for
(mark √)
Registration Fee 注册费 (not refundable )
Week
6/8-6/12
Total 合计: $199 per week or $119 3 days or $79 2 days
6/15-6/19
$388 two weeks, save $10 registration fee
$577 three weeks, save $20 registration fee
6/22-6/26
$766 four weeks, save $30 registration fee
7/6-7/10
C. Refund Policy:
Theme
Chinese
Food
Travel to
Beijing
Chinese
Fairy Tale
Chinese
Calligraphy
1.
Cancelation: No fees will be refunded after Jun 1, 2015. Registration fee are non-refundable.
2.
Parents are advised to review the refund policy closely prior to the registration. In case of medical or family emergency
that leads to a class withdrawal, credit may be granted which can be applied toward a future class. Reasonable evidence
needs to be provided to receive the credit.
D. PARENTAL RELEASE AND CONSENT TO MEDICAL TREATMENT事故应急措施及医疗
My child is enrolled in iStar Chinese School under iStar Education Services, Inc. I hereby release iStar Chinese School, its employees,
representatives, members of Board of Directors, from any and all liabilities for injuries to my child or damage to any property and
property of my child when enrolled at iStar Chinese School. I accept the full risk and responsibility for any damage or injury. In
any legal proceeding brought in regard to this release, iStar Education Services, Inc. shall be entitled to recover all costs and
expenses of such actions, including but not limited to all attorney’s fees. I further authorize iStar Chinese School personnel to take
my child to a physician or hospital and to consent to emergency medical treatment required for my child if I cannot be reached.
Please list an emergency contact other than parent or guardian: Name___________________
Health Insurance Company: _____________________________________
Medications
Yes
No
Please List:
Allergies
Phone (
) _____________________
Insurance Policy# or HMO: _______________________________
Yes
No
Please List:
Parent/Guardian Signature 家长/监护人签名: _____________________ Date 日期: _____________________________________
Please return the completed and signed registration form with check payable to:
iStar Education Services
PO Box 391, Chicago Park, CA 95712
Please visit the school website at www.iStarEdu.org or call 916.792.5802 for more information. Email us at [email protected] should you have questions.
These materials are neither sponsored nor endorsed by the Rocklin Unified School District. RUSD makes no representation regarding the nature or quality of the services or activities promoted. The Rocklin Unified
School District shall be held harmless from any cause of action filed in any court or administrative tribunal arising out of the distribution of these materials, including all costs, attorney's fees and judgements or awards.