2024-2025 New Registration Form

新海中文學校

https://www.jscsnj.org

Jersey Shore Chinese School

P. O. Box 755, Holmdel, New Jersey 07733

2024-2025 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)
	父 (Father)
	母 (Mother)
	地址 (Address):					新地址 (New Address): □ 是 (Yes) □ 否 (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)			□ 男 (M) □ 女 (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)			□ 男 (M) □ 女 (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)			□ 男 (M) □ 女 (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)
						* 預交家長值勤費 $60 (Parents Duty Waiver)
						總計 (Total)

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.
All textbooks and workbooks have to return when withdraw. $30 will be deduct if UNMARKED textbooks and workbooks are not returned.
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.
PLEASE ENSURE YOUR ADDRESS AND PHONE NUMBER(S) ARE CORRECT

Parent's Signature: ___________________________________________________

Date: ________________________________

(for official use only)