Madison Fine Arts Chinese School Registration Form 2019 Spring Semester (January 6th May 12th) – Child’s Name Parents’ Names Cell Phone (English Name) Father (中文姓名) Gender Birth Date Mother Home Address Courses 中文Chinese 象棋Chess 数学Math 舞蹈Dance K 1:30 3:15 1:30 I 3:15 II III 美术 奥数 辣妈健身舞 IV Home Phone Fine Arts Olympic Fitness V 1:30 Math (Adult) VI 3:15 VII 3:15 4:00-5:00 Email VIII 英文读写 IX English Chinese AP reading & Special Chinese writing 3:15 Child’s special interests/requirements Parents' special requirements We may occasionally post your pictures on our website or other publicity materials. If you don’t like your child’s pictures to be seen, please check the mark below * My child has my permission to participate in all indoor/outdoor activities organized by the Madison Fine Arts Chinese School. I agree to bring my child to school for classes and to pick him/her up immediately at the end of school. If I fail to pick up my child on time at the end of classes, I agree to pay possible late charges. I will not hold the Madison Fine Arts Chinese School, its host facility, or any of its regular staff and volunteer workers liable for injury, accidents, illness or other unexpected occurrences during school hours and school-organized activities. In case of medical emergency, the school personnel on duty have my permission to seek emergency treatment for my child until I can be contacted. I have read and understood the foregoing statements. I agree to assume the responsibility stated above and waive all claims as indicated. Parents’ Signature: _______________________Date: _________
Madison Fine Arts Chinese School Registration Form 2019 Spring Semester (January 6th – May 12th) Child’s Name Parents’ Names Cell Phone (English Name) (中文姓名) Father Gender Birth Date Mother Home Address Home Phone Email Courses 中文Chinese K I II III IV V VI VII VIII IX Chinese AP Special Chinese 象棋Chess 1:30 3:15 美术 Fine Arts 1:30 3:15 英文读写 English reading & writing 3:15 数学Math 3:15 奥数 Olympic Math 3:15 舞蹈Dance 1:30 辣妈健身舞 Fitness (Adult) 4:00-5:00 Child’s special interests/requirements Parents' special requirements We may occasionally post your pictures on our website or other publicity materials. If you don’t like your child’s pictures to be seen, please check the mark below * My child has my permission to participate in all indoor/outdoor activities organized by the Madison Fine Arts Chinese School. I agree to bring my child to school for classes and to pick him/her up immediately at the end of school. If I fail to pick up my child on time at the end of classes, I agree to pay possible late charges. I will not hold the Madison Fine Arts Chinese School, its host facility, or any of its regular staff and volunteer workers liable for injury, accidents, illness or other unexpected occurrences during school hours and school-organized activities. In case of medical emergency, the school personnel on duty have my permission to seek emergency treatment for my child until I can be contacted. I have read and understood the foregoing statements. I agree to assume the responsibility stated above and waive all claims as indicated. Parents’ Signature: _______________________Date: _________