圣安东尼奥第一华人浸信会中文学校注册表（春秋学期）First Chinese Baptist Church of San Antonio Chinese School Registration Form

● 此表格仅适用于第一华人浸信会中文学校春季学期和秋季学期（This form is only applicable to First Chinese Baptist Church Chinese School Spring Term and Fall Term.）

● 请确保您已了解报名的全部内容，例如学费、报名费、报名课程所要求的年龄阶段，以免您报名错误需要重新申请（Please ensure that you have understood all the details of your application, such as tuition fees, application fees, and the age level required to enroll in the course, so that you do not make a mistake and need to reapply.）

● 报名的全部内容请参考中文学校首页的工具栏菜单，包括课程安排和学术计划（For full details of registration, please refer to the toolbar menu on the Chinese School home page, including Course Schedules and Academic Programs.）

● 如果您有任何问题，请联系（If you have any questions, please contact）：fcbcsatx2021@gmail.com

学年（Year）*

学期（Semester）*

兴趣班课程（Elective Courses）1:00-2:00PM*

班级选择（Class Selection）2:00-3:50PM*

根据学生不同的中文水平在开学当日分班（Classes will be divided according to students' different Chinese levels on the opening day）

姓名（Name）*

名字（First Name）姓名（Last Name）

性别（Gender）*

出生日期（DOB）*

Month / Day / Year

电子邮箱（Email）*

example@example.com

联系电话（Connect Phone Number）*

Please enter a valid phone number.

家庭地址（Home Address）*

街道地址 Street Address

Line 2

城市 City洲 State / Province

邮编 Zip Code

监护人姓名（Guardian Name）*

手机号码（Cell Phone）*

Please enter a valid phone number.

监护人姓名（Guardian Name）

手机号码（Cell Phone）

Please enter a valid phone number.

在此中文学校就读的其他子女（Other Family Members Attending this Chinese School）*

姓名（Name）

班级（Class）

姓名（Name）

班级（Class）

姓名（Name）

班级（Class）

姓名（Name）

班级（Class）

姓名（Name）

班级（Class）

紧急联系人姓名（Emergency Contact Name）*

手机号码（Cell Phone）*

Please enter a valid phone number.

医生姓名（Doctor‘s Name）

手机号码（Cell Phone）

Please enter a valid phone number.

打勾代表你同意以下条款（By checking the box, you agree to the following terms）*

Refund Policy: If a student withdraws before the 2nd week of class, 100% tuition is refunded. After the 2nd week, no tuition refund will be given. If a student is dismissed from the school due to violation of the school rules as stated in the handbook, also no refund will be given.Waiver of Liability: I consent to the above named person(s) participating in the First Chinese Baptist Church of San Antonio Chinese School (FCBCSACS), and in the Association of First Chinese Baptist Church of San Antonio activities, agree on behalf of said person(s) and the undersigned that we assume the risk of accident or injuries sustained form whatever cause in connection therewith and release First Chinese Baptist Church of San Antonio and FCBCSACS, its members, staff, agents, volunteers, teachers, and associates from any liability from any such accident or injury.Participation Agreement: In consideration of myself or my child participating in the programs of FCBCSACS. I agree, on behalf of myself and my child, to assume all risks of injury to my child and waive all claims, actions, and damages against FCBCSACS. I further agree not to sue FCBCSACS, its staff, members, volunteers, officers, directors, employees, agents, or assigns for any claims arising out of participation in FCBCSACS programs, or the actions of the program participants.I (We) agree in full of the School Handbook and all the School Policy and Rules, I (We) agree that any photos taken by The First Chinese Baptist Church of San Antonio Chinese School (FCBCSACS) during at or in connection with any activities or program held at or sponsored by FCBCSACS may be published by FCBCSACS on its websites or other media for such purpose as deemed fit by FCBCSACS.This form must be filled out properly and completely, a partially filled form will not be accepted. By signing below, the applicant acknowledges that the applicant has read, agrees and does understand the full content.

监护人签名（Signature of the Guardian）*

Clear

日期（Date）*

Month / Day / Year

Please verify that you are human*