2012年春季中文活动周.docVIP

PAGE 2012年春季中文活动周 Spring Chinese Activity Week 在为期一周的寒假期间，我们除了为学生上生动有趣的中文课以外，还为学生设计了丰富多彩形式多样的课外活动、郊游、参观等户外活动，并为学生提供饮料和食品。 时间：春假（Spring Break）4月16到20日,每天从8:30am-5:30pm。 地点：WEST PARISH CHURCH（129 Reservation Rd. Andover, 978- 475-3528） 内容：中文：中国文化知识、故事、电影和游戏，汉字游戏，中文课程辅导。 趣味数学：乘法口诀，速算，心算，益智游戏。 手工：写毛笔字，剪纸折纸，手工制作，针织编制 游戏和活动：室内户外活动，体育活动等。 郊游：一天参观郊游活动。 收费标准：50/一天，$95两天，三至五天：$45/天，如有一家两个同时报名的可享受5%优惠。2012年3月30日前报名可享受5%优惠。 收费方式：付现金或现金支票，我们开收据，作为报税时的凭证。 餐饮要求：午餐请自备(对某些食物或别的东西过敏的孩子，家长要注明)，我们会提供点心和饮料。 联系方式： 电话： 皮芝明：978-228-8320， 赵慧英：978-228-8321 邮箱： Step by Step Chinese Learning Center P. O. BOX 1193. 电子邮箱： stepbystepchinese@ 网址： 2012 Spring Break Chinese Program Registration Form Student name ___________________ 姓名 ______________________ Date of birth: ___________________ Gender: ____ School: ___________________ Grade: ____ Home address: _____________________________________ Home phone #: _____________ Special needs/requests: (i.e. food allergy): ___________________ Father Mother Emergency contact Physician Name 姓 名 Work/Cell Phone E-mail Tuition: One-day: $50, Two-days: $95, Three-days: $135, Four-days: $180; Five-days: $220 Registration Fee $20 a year _________ Days: Mon____; Tues____; Wed: ____; Thus____; Fri____. _________ Total: _________ $20 Registration fee (per child) is due at time of registration and not refundable. Balance is due one week before the first day of the program. Get 5% discount if paid full before 3/30/2012 or have siblings with us. Please make check payable to: Step by Step Mailing Address: Step by Step Chinese Learning Center P. O. BOX 1193. Andover, MA, 01810-1193. Class location: WEST PARISH CHURCH OF ANDOVER Address I hereby give my permission for the above registrant to participate in this program. I agree to hold harmless to the teachers from claims or liabilities related to any accidents that may occur. I give my permission for medical treatment to be given if the need ar