2015 RACL Summer Camp Registration
Website: http://www.racl.org  Email: summer_camp@racl.org
Period: 7/27-7/31, 2015
Location: RCCC Church, 9266 Chapel Hill Rd, Cary NC 27513
Full Day: 9AM-4PM (Drop-off: 8:30-9AM; Pick-up: 4-5PM) Lunch: Children bring own
Tuition: $200/week or $45/day. $175 if register by June 8
Discounts: Second kid and beyond receive a 10% discount (can use same form)
Please make check payable to Raleigh Academy of Chinese Language. Pay in office or mail to:
Attn: Summer Camp, RACL, P. O. Box 50375, Raleigh, NC 27560-6375

网址:www.racl.org  电邮:summer_camp@racl.org
日期:2015年7月27至31日
上课时间:上午9:00时 -- 下午4:00时
接送时间:上午8:30 -- 9:00, 下午4:00 -- 5:00
地址:RCCC Church, 9266 Chapel Hill Rd, Cary, NC 27513
午餐:学生自带,学校提供冰盒
报名费:无
学费:$200/周 或 $45/天
提早报名优惠: $175/周 (必须于2015年6月8日之前报名)
家庭优惠:兄弟姐妹同时报名给予每人10% 优惠
报名方法:网上报名http://goo.gl/forms/haqJY7i958
付账方式: 支票交给注册处,或寄到
Raleigh Academy of Chinese Language
P O Box 50375
Raleigh, NC 27650-6375
 
Refund: Refund 100% tuition if requested 7 days before summer camp, 50% if requested the first day of the camp. No refund after first day of camp. 退 款 办 法:开课前七天申请退费,学费100%退还。开课第一天申请退费, 学费50%退还。开课第二天申请退费,学费恕不退还。

Liability Disclaim: I, the guardian of the camper, hereby understand and agree that I will not hold Raleigh Academy of Chinese Language, its officials, teachers and volunteers liable for any body injury and property damage I and my child/children may sustain by associating with and/or taking part in any of the activities sponsored by Raleigh Academy of Chinese Language. 本人同意如果上述学生在校期间生病或发生意外,学校有权根据情况予以处理或送往医院。一切费用和责任由学生家长承担。家长同意如果上述学生损坏学校物品,一切由家长赔偿。
 
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Student Full Name (First Middle Last) 学生姓名 *
Mother Address 母亲住址 *
Student Sibling(s) Names 学生兄弟姊妹姓名
Student Sibling(s) Names 学生兄弟姊妹姓名
Student Grade 学生年级 *
Student Allergic to (food) 学生对何种食品过敏
Student Current School 学生学校
Student Date of Birth (mm-dd-yyyy) 学生生日 *
Mother Name 母亲姓名 *
Mother Email 母亲电子邮件地址 *
Mother Phone(s) Home/Work/Cell 母亲电话 *
Father Name 父亲姓名 *
Father Address 父亲住址 *
Father Email 父亲电子邮件地址 *
Father Phone(s) Home/Work/Cell 父亲电话 *
Emergency Contact Name 紧急联系人姓名 *
Relationship to Child 紧急联系人和学生关系 *
Emergency Contact Address 紧急联系人地址
Emergency Contact Phone 紧急联系人电话 *
Doctor Name 家庭医生姓名
Doctor Phone 家庭医生电话
Insurance Company 医疗保险公司
Insurance Number 医疗保险号码
*
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