1. Please fill out and then ==> <== this Registration and Waiver form, Initial and Sign the waiver.
2. Mail Completed Registration, Waiver Form and Check to:
CAFAM Chinese School, C/O Susan Lavigne, 22 Fernald St, Portland, ME 04103
Check made payable to CAFAM Chinese School
New this year: ONE FORM SET PER CHILD
Questions: 775-0626 or email to Susan Lavigne
HARD and FAST DEADLINE: September 25, 2008
| Parent Name(s) | |||
| Street/PO Box | |||
| City, State & Zip | |||
| Phones | |||
| Re-enter Email | |||
| Child Name(s) | DOB | Grade (as of 9/08) |
Fall Class $ | Spring Class $ | Total Cost $ |
Books and Material costs (in 2008 - 2009)
| Materials | Cost per unit | Quantity | Total |
| Chinese Made Easy for Kids Textbook and CD | $20 | ||
| Chinese Made Easy for Kids Workbook | $13 | ||
| Chinese Made Easy Textbook and CD | $30 | ||
| Chinese Made Easy Workbook | $27 | ||
| Totals | |||
Class Fee Schedule:
| Class | Toddler | Preschool | Kindergarten & Older | Adult Class |
| Per Person/per Semester | $60.00 | $100.00 | $110.00 | $25.00 |
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| Registration Deadline: September 25, 2008 |
| Late Registration will be accepted - with a $25 penalty - only until October 11, 2008 |
| The only exceptions will be for families brand-new to the area and to families with a newly adopted child. |
| No walk-ins will be accepted on the first day. |
| We thank you for accommodating this very necessary new policy. |
PERMISSION to PARTICIPATE
CAFAM’s CHINESE SCHOOL
Child’s Name:
Special Concerns:
WAIVER:
I understand that the Chinese American Friendship Association of Maine (CAFAM),
Chinese Dance Performance & Education Program of Maine (CDPE), CAFAM Chinese School
or their agents may use photos or videotapes of the above named child(ren)’s
participation for promotional or educational purposes.
I (DO / DO NOT) Agree to Photo Permission Initial
_______________
I certify that the above named minor child(ren) is (are) in excellent health
and may participate in strenuous physical activity. I hereby give permission
for the above named child(ren) to participate in Chinese dance activities during
Chinese School and any CAFAM or CDPE special programs.
I hereby agree to release, discharge, indemnify and hold CAFAM, CDPE,
Chinese School and their representatives, consultants, and all
persons acting under their permission or authority harmless from any
liability claims, demand costs or damages arising out of said program
activities which my minor child(ren) might sustain during his/her/their
participation. Permission is hereby granted for my child(ren) to receive
emergency medical treatment and be transported to a local hospital, if needed.
I certify that there are no limits to my minor child(ren)'s participation
except as stated in writing above. I have read this document carefully,
and sign it voluntarily with full knowledge of its significance.
PARENT/GUARDIAN SIGNATURE
_____________________________
DATE _____________________________
YOU YI QIAO - Friendship Bridge NEW THIS YEAR!!!
CULTURAL CENTER (Grade 4 and above only)
REGISTRATION FORM - Fall 2008
| Will your child participate in: | |
| Mandarin I class with QingMei Zheng? | Y N |
| Mandarin II class with Viveca Kwan? | Y N |
| Mandarin Enrichment with Viveca Kwan? | Y N |
| Dance class withKaren Morency (age group based)? | Y N |
| Brush Painting when their schedule permits? | Y N |
|
Student Volunteer program (7th and 8th graders upon approval) Student Class preference (optional): |
Y N |
| NOTE: In addtion all You Yi Qiao students are ENCOURAGED to participate in game time with the younger students at some point during the semester. | |
See the Class Descriptions page for SCHEDULE. Note: Students should be able to do both workships each week, if they choose.
| Dates | Workshop A | Workshop B |
| October 18 | Rocket Science - 1st session | Chinese Dragon System of Martial Arts - 1st session |
| October 25 | Rocket Science - 2nd session | Ping Pong with Master He |
| November 1 | Rocket Science - 3rd session | Chinese Dragon System of Martial Arts - 1st session |
| November 8 | Giant Origami - 1st session | Lion Mask Making - 1st session |
| November 15 | Giant Origami - 2nd session | Scallion Pancake Making (and eating!) |
| November 22 | Inside the Olympics | Lion Mask Making - 2nd session |