New Family New Address Staff and Teacher Parent Representative
Parent/
Guardian
Chinese
Name
English
First Name *
English
Last Name *
Email *
Guardian 1/
Father
Guardian 2/
Mother
Address: *
City: * State: *
Zip: *
Home Phone: * Cell Phone: *



Chinese Name: Gender:
English First Name: English Last Name:
Date of Birth: / / English class grade in September 2016:
Language Class:
Activity Class 1:
Activity Class 2:
Activity Class 3:
Activity Class 4:
Allergy and Other Information:

Chinese Name: Gender:
English First Name: English Last Name:
Date of Birth: / / English class grade in September 2016:
Language Class:
Activity Class 1:
Activity Class 2:
Activity Class 3:
Activity Class 4:
Allergy and Other Information:

Note:
- There are 2 classrooms in MLP Level 3 and Level 4 respectively. The maximum number of students per calssroom is 12.
- MLP Level 3 (A) and Level 4 (A) class has reached maximum capacity of the class. The registration for the class has been closed.
- The maximum number of students for the Mixed Media Art class per session is 10.


Which language do your children use to communicate with you?
  • Mandarin
  • English
  • Cantonese
  • Other:
Does anyone in your family speak/write in Mandarin Chinese?   


Tuition Payment
Language Class: $360 *      =
Acivitity Class: $64 *      =
Acivitity Class: $320 *      =
Acivitity Class: $420 *      =
Acivitity Class: $480 *      =
Acivitity Class: $640 *      =
Family Discount: *
Parent Duty per Family for School Year 2016-2017: * Yes, no fee
No, $20 exemption fee
Late Registration fee $50.00/family (waived if registered by midnight 7/31/2016):
Total:
Tuition Payment Check Number:
* Family may deduct 10% from tutition for the third student and 20% for the fourth student and up, if paid in full. The discount will be applied towards the individual(s) with the lowest tuition.
* Parent duty is $20 per family per year.

Parent Duty Deposit
Parent duty deposit will be returned upon completion of parent duty. Please do not write the date on the check.
Parent Duty Deposit check number:



Tuition and Refund Policy
Tuition
  1. Tuition is $360 per 1.5 hour class and $320 per 1 hour class per year unless otherwise noted.
  2. If the class has less than seven students, the school reserves the right to cancel the class.
  3. If the class has over fifteen students, you may be put on a waiting list on a first come first serve basis – the school will inform you at the beginning of August. If there are enough students the school may open a second class.
  4. Please contribute to WCS by signing up parent-on-duty program. We need 1 parent-on-duty per day while WCS is in session to help with bake sale, classroom setup, and student recess monitoring: 1.5 hours, 9-10:30am, during language class time.
Refund Policy
  • 100% refund if withdrawn before the end of the 1st class.
  • 80% refund if withdrawn before the end of the 2nd class.
  • 50% refund if withdrawn before the end of the 3rd class.
  • There is no refund after the 4th class.
  • Registration fee is non-refundable.
  • No switching of classes after the 3rd class without approval from the principal.



Waiver for Claims and Responsibility Agreement

I realize that participating in the Westwood Chinese School (WCS) programs may involve some risk of personal injury; Therefore, I hereby release and covenant to hold harmless WCS, its agents, contractors, volunteers, and administrative staff of and from any and all actions, claims, and damages for personal injuries and disabilities that my child/children have sustained and may have incurred as a result of participation in the program.

Check this box if you do NOT want your child/children's picture or name shown on the WCS website.

Please type your full name to confirm that you accept the agreement: *



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