2010 Summer Tutorial Registration
First Name
Last Name
中文姓名
Date of Birth
Grade
 Sex:
M
F
HomeAddress
City:
NJ  Zip Cood
Email
Telephone
 Cell Phone
Emergency Contacts
Registration Date
6/21    6/28      7/5       7/12      7/19      7/26       8/2         8/9        8/16      8/23      8/30
Registration Fee
$200/Week         Non-refundable registration fee $25/person
Fee Schedule:   (Include Lunch, Teaching material, Activity )
  • Week/days 5 full days  up to  3 weeks    $200/Week
  • Week/days 5 full days  up to  6 weeks    $190/Week
  • Week/days 5 full days           10 Weeks $180/Week

PAYMENT:
  • $25.00 person non-refundable registration fee to accompany
    this form
  • will be applied to total program fee.
  • $100.00 Deposit is required of each child at registration time, All
    deposit money is non-refundable after Jun 18, 2010.
  • All summer session payments are due on or before Jun.28, 2010.
Parents: The health and waiver form on the attachment must be included with your registration.

     2010 Registration Form               Health Form
Registration  >
Registration Form
美中阳光教育文化中心