註冊 Registration – 哥城中文學校 Columbus Chinese Academy

Children PreK – 10th grade

STUDENT FIRST NAME *

STUDENT LAST NAME *

STUDENT CHINESE NAME

STUDENT EMAIL

STUDENT BIRTHDAY *

GENDER * Male Female

FAMILY HEAD FIRST NAME *

FAMILY HEAD LAST NAME *

FAMILY HEAD CHINESE NAME

FAMILY EMAIL *

SECONDARY FAMILY EMAIL

FAMILY Phone *

Session Start Date *

Session End Date *

Heritage Chinese Classes

HC CLASS

Class Code	Class Name	Class Time	Fee / Semester
PreK-10	幼幼班到十年級	1:00 - 3:00 pm	$210

Requirements

Minimum Age of 4 or potty trained
To qualify for HC-K enrollment, children must also be age-eligible or assessed ready for grade school kindergarten

Chinese as Second Language (CSL) Classes & Adult Mandarin Learning Classes (TCML)

CSL CLASS

Class Code	Class Name	Class Time	Fee / Semester
CSL-Starter	拼音入門 Chinese as Second Language Introduction (Pinyin) (Minimum age 6 years old) Note: Students must attend this class for two years before they can advance to a higher level. Through teacher assessment, students may be eligible to skip a year and advance.	1:00 - 3:00 pm	$210
CSL-Basic	拼音入門 Chinese as Second Language Introduction (Pinyin), Level 1 (Minimum age 6 years old) Note: Through teacher assessment, students may be eligible to skip a year and advance.	1:00 - 3:00 pm	$210
CSL-2A	會話 Chinese as Second Language, Level 2 (Mixed ages)	1:00 - 3:00 pm	$210
CSL-2B	會話 Chinese as Second Language, Level 2 (Accelerated) (Mixed ages, high school grades)	1:00 - 3:00 pm	$210
TCML	Taiwan Center for Mandarin Learning, Adult Learners (Ages 18+) Note: This is for online payment and TCML students must fill out the TCML-specific class registration form to capture separate information.	Multiple Sessions	$210

Payment

Payment by Credit Card or PayPal is required to register students.
開課二星期之後, 學校不辦理退費
捐款可以用來扣稅, 學費不可以用來扣稅
Payment by Credit Card or PayPal is required to register students.
No class withdraw or tuition refund one week after school starts.
Donation portion is tax deductible.

Media Release

COLUMBUS CHINESE ACADEMY OCCASIONALLY PHOTOGRAPHS OR VIDEOTAPES ACTIVITIES HELD AT SCHOOL AND AT SPECIAL EVENTS IN THE COMMUNITY FOR USE SOLELY IN CONNECTION WITH OFFICIAL COLUMBUS CHINESE ACADEMY PUBLICATIONS, PROMOTIONS, ITS WEB SITE, OR IN SOCIAL MEDIA. BY ATTENDING OUR SCHOOL, YOU ARE GIVING CONSENT FOR CCA TO RECORD AND USE YOUR CHILD'S IMAGE.

Columbus Chinese Academy Consent Form

I/WE AS LEGAL GUARDIAN(S) DO HEREBY AGREE TO INSTRUCT OUR CHILD(REN) TO ABIDE BY THE RULES CONTAINED IN THE CCA SCHOOL RULES ON PAGE 2, RELEASE AND DISCHARGE THE COLUMBUS CHINESE ACADEMY, ITS OFFICERS, MANAGERS, TEACHERS, THE SCHOOL IT RENTS FROM, FROM ANY AND ALL CLAIMS, LIABILITIES, DAMAGES, DEMANDS FOR ANY INJURIES TO PERSON OR PROPERTY SUSTAINED TO THE NAMED CHILD, AND RESULTING FROM THE ATTENDANCE OR PLAY IN THE AFOREMENTIONED SCHOOL, I/WE FULLY AGREE THAT THE SIGNATURE BELOW ON THIS FORM ATTEST TO THIS PHYSICAL RELEASE STATEMENT:

PARENT/GUARDIAN SIGNATURE *

Fee Total: $