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FUTURELINK SCHOOL 前 瞻 學 院 22 W. Live Oak Ave. Arcadia, CA 91007 (626) 446-3333 暑假報名表 (2012 SUMMER SCHOOL REGISTRATION FORM) 註冊日期 (REGISTRATION DATE) _____ Student’s name

Chinese name

Mother’s name

Father’s name

Upcoming Grade

School Name Guardian

Address First Phone #

Second Phone #

DATE 上課日期 : MORNING CLASSES AFTERNOON CLASSES SPECIAL CLASSES

◇ ◇ ◇ ◇ ◇ ◇

10 weeks 8-9 weeks 6-7 weeks 4-5 weeks 1-3 weeks Material

Mother’s Work Phone #

Father’s Work Phone #

6/18—8/24 (academic lessons and extra curriculum) 9-12 pm — Math, English (數學/英文字彙閱讀与文法) 1-3 pm — English Writing (英文寫作) 3-5 pm — Computer Skills, Basketball, Chinese, Art, Speech, Cooking, Sports, Dance, Music, Yoga, Drama (中文, 體育,烹飪,和各種才藝活動)

$120/week $130/week $140/week $150/week $160/week $ 10/week

__ week __ week __ week __ week __ week __ week

$_____ $_____ $_____ $_____ $_____ $_____

◇ Half-day $ 85/week __ week ◇ Material $ 6/week __ week ◇ Registration $30

$_____ $_____ $_____

(Waived if you enroll on or before 5/15)

◇ 10% Second Child (same family) Discount − $_____ ◇ Lunch $ 5/day __week $_____ Total $_________

Check _______

Cash _______

暑假輔導班收費規則 (SUMMER SCHOOL FEE: COLLECTION AND REFUND POLICY) 1. 學生必須在上課前,完成註冊輿繳費手續,所有費用需一次繳清. Before summer session begins, all registration forms must be completed and all fees must be paid in full for the entire session. 2. 開學前退學者,將收 10% 之手續費;開學後,則恕不退款. There will be a 10% processing fee for refund requests received before class begins; however, we will not issue refunds for requests made after class begins. 3. 學生開學後,如有事請假,需在一週前通知 Office‧連續請假五天或以上者,最多可保留五天學費留待 課後輔導班扣除 如請假五天以下,或臨時請假者,恕不退還任何Credit 及費用. Please notify the office of any absences at least a week in advance. We only issue credit refunds for absences of five or more days. Absences of less than five days are not refundable. 4. 校外參觀,旅遊活動及其他活動,如需費用另繳,屆時另發通知. Fees for additional activities, field trips, etc. are separate; you will be notified of these fees when applicable. WEEK

#1

#2

#3

#4

#5

#6

#7

#8

#9

#10

6/18-6/22

6/25-6/29

7/2-7/6

7/9-7/13

7/16-7/20

7/23-7/27

7/30-8/3

8/6-8/10

8/13-8/17

8/20-8/24

ATTEND LUNCH

7/3 holiday

Please read and sign the back of this page. Thank you! 請翻頁續讀校規並簽名


前瞻 電 腦中 文 學校 校 規 FUTURELINK SCHOOL POLICY AND R EGULATIONS 親愛的家長您們好: 本校為了 提供孩子一個最安全的學習環境,請注意以下事項: 1.

請於 6:30 PM之前接孩子,超過 6:30 PM 之後,每半小時須付 $10.00。

2.

請告知您的孩子:

3.

(A) 學生在校, 須服從老師及工作人員的指導; (B) 上課須遵守老師的指示做功課,不能擾亂其他同學的 學習; (C) 學生不可做任何危險性的動作或遊戲,也不可以打人、罵人或打架,尤其不允許破壞任何學校 的物品,破壞者須賠償損失; (D) 學生務必遵守行車安全 規則,綁好安全 帶,不許喧嘩、打鬧、離開座位 等等。以上諸項,發生任何意外事故,學校恕不負任何責任。若違反校規,情節重大者將被處以退學並不 予退費。

4.

本校會盡力照顧學生的安全,並設有嚴格的門禁,不允許學生離開校區,老師及工作人

5.

員會隨時清點人數,但若學生不告知工作人員或老師,擅自離校,學校不負任何責任。

Dear Parents: Please read the following regulations: 1. There will be an additional charge of $5 per half hour for parents who pick up their children after 6:30 p.m. 2. Please speak to your children about the following rules:       

When completing assignments, students should not disturb other students at any time. Students are not allowed to play dangerous games or perform any action that will cause injury. No fighting or inappropriate language is allowed. Students will be held accountable for damages to school property. Students should always wear seat belts on the school bus. They cannot talk loudly or leave their seats at any time. Students are not allowed to leave the school before dismissal without the consent of parents or guardians. If a student sneaks out of school, Futurelink will not be held responsible. Repeated violation of these rules will result in expulsion without refund.

To ensure a safe learning environment, please talk to your children about the importance of these rules and ask them to cooperate with our teachers and staff. Thank you for your help. ________________________________________________________________________________ 意外事故處理授權及責任釋責書 / MEDICAL AUTHORIZATION AND LIABILITY WAIVER DECLARATION

I request that the name stated in this registration form be permitted to participate in Futurelink School activities. He/She is in good physical condition, but in case of illness or accident, Futurelink School has authority to secure necessary medical attention. I will not hold Futurelink School or its officers or teachers liable for medical aid rendered and will reimburse Futurelink School for medical and other expenses incurred in his/her case. I hereby waive all claims against Futurelink School and its drivers for illness, accident, injury, or death. ___________________________________________________________________________________________

PARENT/GUARDIAN SIGNATURE:

DATE:

家長 / 監護人簽名 _________________________________

日期 __________


futurelink-2012-summer-school-enrollment-form