新海中文學校
https://www.jscsnj.org
Jersey Shore Chinese School
P. O. Box 755, Holmdel, New Jersey 07733
2021-2022 註冊單 Registration Form
請盡量用繁體字填寫,謝謝您的合作。 (Please print clearly, thank you.)
家庭資料
Household
Information
  中文姓名 (Chinese Name) 專長 (Specialty) 英文姓名 (English Name) 成人活動 (Activities) 報名費
(Registration Fee)

(Father)
               

(Mother)
               
地址 (Address):   新地址 (New Address):
(Yes) □ (No)
Years of Administration or Teaching service already served in JSCS If none, please choose either Administration □ or Teaching □ function to participate.
Email Address:   緊急電話 (Emergency Contact Phone #):
學生資料
Student
Information
姓名
(Name)
中文 (Chinese)   英文 (English)  (M)
 (F)
 
生日
(DOB)
  中文程度 (Chinese Level) 就讀班級 (Assigned Class)
新生 (New Student) □ 舊生 (Returning Student) 文化課 (Culture Class)  
學生資料
Student
Information
姓名
(Name)
中文 (Chinese)   英文 (English) □  (M)
□  (F)
 
生日
(DOB)
  中文程度 (Chinese Level) 就讀班級 (Assigned Class)
新生 (New Student) □ 舊生 (Returning Student) 文化課 (Culture Class)  
學生資料
Student
Information
姓名
(Name)
中文 (Chinese)   英文 (English) □  (M)
□  (F)
 
生日
(DOB)
  中文程度 (Chinese Level) 就讀班級 (Assigned Class)
新生 (New Student) □ 舊生 (Returning Student) 文化課 (Culture Class)  
小計
(Subtotal)
 
家長會費 $25
(PTA Fee)
$25
* 預交家長值勤費 $60
(Parents Duty Waiver)
 
** 報名費 $15 x _____
(Registration Fee)
 
總計
(Total)
 
  1. This undersigned parent assumes all the risks involved and shall hold harmless the school, its staff and teachers, from any and all liabilities, responsibilities and claims; and GRANT permission for a photo/image that includes this student(s) to be shared with media outlets, including internet websites, newspapers and television stations.
  2. All textbooks and workbooks have to return when withdraw. $30 will be deduct if UNMARKED textbooks and workbooks are not returned.
  3. Parents have duty and committee obligation. A $60 service waiver (per family) will be collected at time of registration and will be refunded at the end of school year upon duty fulfillment.
  4. After the 1st shool day, registration fee is not refundable. 報名費恕不退費
  5. PLEASE ENSURE YOUR ADDRESS AND PHONE NUMBER(S) ARE CORRECT
Parent's Signature: ___________________________________________________
Date: ________________________________
(for official use only)
教務 (Curriculum) 財務 (Finance) 建檔 (File)
  現款 (Cash) 支票 (Check) 差額 (Outstanding) 日期 (Date)