下午中文班

ACES After School Chinese Classes

2017-2018 Registration Form

Grade in Fall*
Student's Mandarin Chinese Proficiency
Speaking* Listening* Reading* Writing*
Which textbook has your child used before?
Emergency Contacts and/or Authorized Pick-ups
  • I understand that I am not to leave my child at the ACES site unless there is a ACES staff member present.

  • I understand that my child will not be allowed to leave the program with an unauthorized person. Only adults (over 18 years old ) can be authorized to pick up the child.

  • I understand that I will be charged a late fee if I fail to pick up my child before 5:45pm. The late fee will be $5 per day, but no more than $50 per month.

  • Authorization: In case of an emergency, I understand that every effort will be made to contact me. In the event that I cannot be reached, I hereby give permission to the physician selected by the adult leader in charge to secure proper medical services. I hereby release Austin Chinese Education Services and its staff and aides from all action that may arise from such medical services.

  • I understand and acknowledge that the ACES does not offer any medical insurance to protect against injuries, makes no claim to do so, and has no responsibility for any medical expenses incurred. I understand that each participant must assume the risk and any related financial responsibility that could result from participation in any of these activities. I agree to assume such risks and such financial responsibility. I further understand that neither the ACES nor its workers can be held responsible in the event of accident
  • I understand that my child may be removed from ACES program for any of the following reasons:
  1. Failure to pay program fees by designated deadlines.
  2. Inappropriate behavior of a child/parent that endangers anyone involved with the ACES.
  3. Inappropriate behavior of students that disrupt the class, so that the class cannot function properly.
  • I authorize for my child(ren) to participate in the following activities when enrolled in ACES:
    • View Chinese Children Cartoon series.
    • Participate in photos or videos for ACES events.
Course(s) and Fees:*

Registration Fee: $35

The registration Fee is waived for all children if you register and pay the August tuition before May 20, 2017. 

Cancellation and Tuition Policy:

Cancellations must be requested in two weeks in advance of the effective date. The August tuition and registration fee is not refundable. 

You should receive a confirmation email with a PDF format form attached. Please print the PDF file (form) and mail or personally hand in the form with a check payable to ACES by May 20, 2017.

The mailing address of ACES:

13581 Pond Springs Rd. Suite 200, Austin, TX 78729

By signing, I hereby acknowledge that I have read and understand this agreement, and agree to all the terms and conditions set forth above.
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