2024 SCA & Viswise Summer Program

2025 Springfield Commonwealth International Summer Program (SCISS) Registration form
Student Name*

First NameLast Name
Student Email*
example@example.com
Student Birth Date*

MonthDayYear
Student Gender*

MaleFemaleOther
Student Rising Grade*
Student T-Shirt Size*
Courses Offered:
Session 1 Courses (June 29th to July 18th)

Path to Wall Street and Impact InvestmentsArtificial IntelligenceEnglish and creative writingVisual Art and Creative Art PortfolioSAT/ACT/TOEFL Test preparationVisual Art and English (two classes in the morning)Not Session1
Session 2 Courses (July 20th to Aug 8th)

Youth Innovation and EntrepreneurshipPublic Speaking and DebateEnglish and creative writingVisual ArtSAT/ACT/TOEFL Test preparationVisual Art and English Learning (two classes in the morning)Not Session2
Sports Options offered
Select one or more options

BasketballFitness TrainingRowing CrewFencingGolfSoccerArcheryHip-hop Dancing
Airport Pickup ？(Two Way Airport Transfer New York $600, $400 Boston, $200 Bradley. While One Way for $300, $200, $100 Respectively)

NoYes One WayYes Two Way
Parent/Guardian Name*

First NameLast Name
E-mail Address*
example@example.com
Phone*
(123) 456-7890
How did you hear about us?*
Please add "SC-Academy-Q斯" (chinchinss) For more information and details about our summer camp
Contact WeChat ID
Please leave your WeChat ID for direct contact. If you don't have WeChat, just fill NO WECHAT
Student Birth Date*

MonthDayYear
Date
We will be taking group photos during our summer camp activity. These photos may be used for documentation, promotional materials, or shared within our community. Do you allow SCISS to use the activity pictures with your children for promotion purpose? All the photos will be properly selected.*

YesNo
Refund Policy
- 90% Cash Refund: Available for cancellations made before June 1st.
- 50% Cash Refund or 90% credit for the future program: Available up to two weeks before the program starts.
- No Cash Refunds After Program Start: Refunds will not be issued once summer begins. However, 90% can be credited or transferred for future programs.
If the student has any allergy and need any medicine/special care, please indicate details below.
If you have any question please leave note.
Email to Receive Receipt
If you cannot pay by Zelle, please contact si.qin@springfieldca.org
Contact Us

Ms. Si Qin

Email：sciss@springfieldca.org; si.qin@springfieldca.org

phone number: 646-651-0356 or 914-826-7668

WeChat ID: chinchinss
Please verify that you are human*
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2025 Springfield Commonwealth International Summer Program (SCISS) Registration form